Rich people are afforded alot more luxuries in every country.
I would also not say your screwed in the US if you are poor. Just because it is not specifically guaranteed under US law, does not mean the poor do not get coverage. In the US we have publicly funded health care programs to help the old, poor, disabled, and children. You know in Canada you are still screwed if you are poor, hence the prime minister would be unable to get a surgery at all if he were poor.