Antonia Maioni, in her book Parting at the Crossroads: “The Development of Health Insurance in Canada and the United States” compares which country has the best healthcare system. Although these neighbors develop different forms of health insurance, universal health care system in Canada while a dual-tiered system of Medicare and Medicaid, what population does it target to and, what portion of the nation is neglected. Moreover, how the misidentification can cause a divergence between two different countries.