Does every citizen have the right to access primary healthcare in the richest country in the world? The current healthcare system in America has many inequities in the access, quality, and cost of healthcare among different economic groups of people. Furthermore, it would be more beneficial to guarantee citizens access to preventive care that could avoid health problems by addressing them promptly, while they are still manageable. Siegfried Karsten (1995), professor of economics at West Georgia College, raises a valid point in the American Journal of Economics and Sociology when he asks whether "society can really afford not to cover all people...is it economically and politically rational “Continue to cause millions of people to develop serious health problems, at great cost to society… why are they not financially able to get the medical care they need when it does them the most good?” (page 138). The cost of health care in America is a deterrent for low-income groups who cannot afford insurance or, even if they have insurance, are hesitant to seek treatment due to deductibles and copays. Canadians do not pay a fee for primary care visits. This is an encouraging factor for all its citizens, regardless of social status, to seek medical care sooner rather than later. Interestingly, there are not many differences between survival rates in Canada and the United States for middle- and upper-income groups,