Hospitals in border cities, including Detroit, are forging lucrative arrangements with Canadian health agencies to provide care not widely available across the border.

Agreements between Detroit hospitals and the Ontario Ministry of Health and Long-Term Care for heart, imaging tests, bariatric and other services provide access to some services not immediately available in the province, said ministry spokesman David Jensen.

The agreements show how a country with a national care system — a proposal not part of the health care changes under discussion in Congress — copes with demand for care with U.S. partnerships, rather than building new facilities.

Michael Vujovich, 61, of Windsor was taken to Detroit’s Henry Ford Hospital for an angioplasty procedure after he went to a Windsor hospital in April. Vujovich said the U.S. backup doesn’t show a gap in Canada’s system, but shows how it works.

What if the US didn’t have its current system to provide a cushion for the Canadians?

He may be 61, but his thinking is juvenile.