There may not be additional paperwork, but if my facebook friends are any guide, the Canadian healthcare system is far from idyllic.
"I think my toe may be broken, but I won't be seeking medical attention because I don't have time to wait 8 hours in the hospital." In the US, you wouldn't go to a hospital. You'd go to urgent care, pay $20, and be seen right away. Of course, they'd probably just make you a splint and tell you to deal with it, but at least you can get an X-Ray and make sure there isn't something else going on.
"I have been on hold for over an hour trying to call my doctor. I think they may have left and gone home." Yeah, that doesn't happen in the US. You can schedule appointments online, and there's always someone to answer the phone. Even after hours, you'll get a medical triage line.
That kind of thing. And the funny thing is, I'm not sure any of my facebook friends have bitched about the US healthcare system and most of my friends are American. For as much as our system has a bad reputation, it seems to work for the most part.
By the way, paperwork is not really a big deal here. I go to the doctor, I hand them my insurance card, and they deal with it. That's it. I pay a $20 copay, and Canadians don't, but ... well, I'll pay $20 if it means the system is accessible. Not sitting in an ER waiting room for 8 hours has value to me. Way more than $20, by the way.