President Donald Trump has been pushing hard, along with Republicans in Congress, to eliminate former President Barack Obama’s Affordable Care Act. But as he and leaders of the Senate and House struggle to come up with some alternative health care law, they might ask themselves why large companies like General Motors, Ford and Chrysler (now Fiat Chrysler) over recent decades have shifted roughly half their car and truck production — and the jobs that go with them — across the Detroit River into Canada.

Here’s one big reason they did it: Canada’s government-run single-payer health system, known as Medicare — to be clear, not the same Medicare as the American health care system for senior citizens — lowers those auto companies’ health care costs from more than $15,000 per worker in the United States to just a few thousand dollars in Canada, with all Canadian taxpayers, not just employees and their employers, picking up the tab.

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