johnklineAdvocates of single-payer health care, a government-run alternative to private health insurance, had their voices heard in Congress on Wednesday, but Republicans are railing against the idea.

Minnesota’s John Kline, the ranking Republican on the House Education and Labor Committee’s subcommittee on health, employment, labor and pensions, said that Canadians are crossing the border to access health care in the United States. “Well, when they come south for health care, medical care, they stop at the Mall of America and we’re glad to have them there as well,” he said.

But, are Canadians flocking to Minnesota — or the United States — for health care? The only quantitative study on the issue was conducted in the late-1990s by the journal Health Affairs.

Several sources of evidence from Canada reinforce the notion that Canadians seeking care in the United States were relatively rare during the study period. Only 90 of 18,000 respondents to the 1996 Canadian National Population Health Survey indicated that they had received health care in the United States during the previous twelve months, and only twenty indicated that they had gone to the United States expressly for the purpose of getting that care.

Kline’s witness was Dr. David Gratzer, a senior fellow at the conservative think tank, the Manhattan Institute. The institute has received funding from health insurance giant Cigna and several members of the health care industry make up the institute’s board of trustees.

Though the Mall of America doesn’t publish raw numbers (PDF), Canadians are one of the top foreign visitors annually.