Am I dreaming?

Is the Province of British Columbia really selling off surgery spots to other provinces, while cancelling hundreds of surgeries here?  Or is this just another Carol James Moment? Is it hype, or is it real?

Health Minister Kevin Falcon confirmed B.C. is negotiating to bring 400 patients to the province for surgery over the next two years. But Falcon scoffed at the accusation the Saskatchewan patients will displace British Columbians. ( CBC News )

See I don’t get this anymore. IF we are cutting surgeries, but can have the means to perform surgeries for those who will pay more, how is that NOT impacting us? Isn’t it saying that this IS NOT public health, but AMERICAN HEALTH CARE?