While Canadians generally express a strong aversion to the idea of becoming the 51st U.S. state, a notable number are choosing to relocate south of the border. A recent study delves into the multifaceted reasons behind this trend, suggesting the motivations are more complex than simple envy of American jobs or tax rates. The findings present a nuanced picture, indicating an increase in Canadians moving to the U.S. in recent years, even as the rate of long-term permanent migration has seen a decline.
Understanding the Migration Trends
Official data from Statistics Canada reveals that nearly 20,000 Canadians emigrated permanently to the U.S. in 2022. This figure represents a significant 65 percent increase compared to the previous year. However, this surge contrasts with a broader trend observed over the past decade. The average number of Canadian-born individuals granted permanent U.S. residency decreased from approximately 15,600 in the late 2000s to nearly 11,000 in the late 2010s.
New Study Explores Relocation Drivers
To better understand these shifting patterns, a new study titled “Beyond the Borders: Unraveling Reasons for Canadians’ Relocation to the United States” was conducted by Neil Seeman, an associate professor at the University of Toronto, and Jack Mintz, president’s fellow at the University of Calgary’s School of Public Policy. The researchers aimed to identify the primary drivers influencing Canadians’ decisions to move to the U.S.
Key Findings: Jobs and Healthcare Emerge as Top Factors
Contrary to initial expectations that job opportunities would be the sole dominant factor, the study revealed a surprising second-place contender. Researchers surveyed 2,003 U.S.-based adult web users in August 2024 who had observed Canadians relocating to their state within the past three years. The results indicated that:
- Job Opportunities: Cited as the most common driver, accounting for 27.7 percent of responses.
- Healthcare Access and Quality: A very close second, representing 25.6 percent of reasons.
- Tax Considerations: Mentioned by 10.1 percent of respondents.
- Business Taxes: Specifically cited by 4.3 percent.
“We had this surprise finding that health-care access and quality was a very close tie (to jobs),” stated Seeman. He emphasized the importance of addressing both the “brain drain” to the United States and understanding the specific health-care-related motivations for relocation.
Nuances in Healthcare and Insurance
Valerie Lacarte, a senior policy analyst with the Migration Policy Institute in Washington, offered a cautious perspective on the healthcare findings. While acknowledging the appeal of the U.S. for work, she questioned the direct comparison of healthcare systems. Lacarte noted that while Canada offers broader access, the U.S. system can provide faster care for those with adequate insurance. She pointed out that many Canadians who migrate to the U.S. are highly skilled professionals, often through employer-sponsored pathways, which typically includes private health insurance. Indeed, the study found that approximately 78 percent of Canadian immigrants in the U.S. possess private health coverage, a higher rate than the 69 percent among U.S.-born citizens. “For higher-skilled Canadians with employer-sponsored insurance, I can see why that would be a pull factor,” Lacarte commented.
Personal Experiences with the U.S. Healthcare System
However, personal accounts highlight potential drawbacks. Randy Clare, a Canadian living in South Carolina, expressed skepticism about moving to the U.S. for healthcare, citing its expense, fragmentation, and stress. He described the U.S. system as offering an “illusion of choice,” where insurance companies, rather than individuals, often dictate care options. Clare recounted a difficult experience where his wife’s breast cancer treatment was disrupted by an insurance change, forcing her to reassemble her medical team shortly before surgery. He worries that a single major health diagnosis could financially cripple his family, potentially forcing a return to Canada.
Stuart Martin, a Canadian residing in Los Angeles, echoed concerns about the U.S. social safety net, contrasting it with Canada’s more robust support systems. While he acknowledged the “immediacy of access” in the U.S. healthcare system—citing a rapid appointment with an allergy specialist—he felt the U.S. lacked the broader safety net found in Canada. Martin moved to the U.S. for work opportunities, drawn by the larger market scale, access to capital, and significantly different salary ranges, particularly in sectors like public relations and technology.
Broader Opportunities and Entrepreneurial Concerns
Beyond healthcare, the allure of greater opportunities remains a significant motivator for Canadians moving to the U.S. David Zeyl, who relocated to Michigan in the 1990s for university and is now seeking U.S. citizenship, stated, “I was looking for something bigger, a little more opportunity.” He described coming from a small town in southern Ontario and seeking a more expansive environment.
Immigration lawyer Richard Herman, based in Cleveland, has observed a steady influx of Canadian clients, particularly business owners, since the COVID-19 pandemic. Many express dissatisfaction with Canada’s economic direction and perceive taxes as excessively high. Seeman corroborated this, noting that entrepreneurs often find it “very, very difficult to conceive, hatch and sustain a business in Canada.”
Potential for Return Migration
Despite the incentives to leave, the study also suggests that a significant portion of Canadians who relocate to the U.S. are open to returning home. Approximately 38 percent of these individuals expressed a willingness to return to Canada. Seeman views this as an opportunity for Canada to re-establish itself as a desirable destination. He recommends that Canadian policymakers prioritize improving healthcare access and quality, alongside implementing more competitive tax structures.
Herman agrees that addressing the tax code is crucial for retaining talent. Lacarte suggests that Canada could also benefit from enhanced outreach to its expatriate population, acknowledging that re-entry into the Canadian system can be challenging for those accustomed to different structures.


