Health care utilization of Canadian snowbirds: an example of strategic planning.

Older English-speaking Canadian seasonal migrants to Florida (N = 2046) were surveyed during the winter of 1986. They are users of two health care systems and are generally in good health. When they do need to use health care resources, however, they show a distinct preference for the Canadian system. There is a sensitivity to health concerns, especially among the older of the migrants. This sensitivity generates considerable precautionary behavior including pretravel visits to their Canadian family doctors, stocking up on drugs before the trip, and taking out health insurance for Canadians traveling abroad. The behavior is strategic in that it is both intentional and oriented to contingencies. Cost of health care may be a motivating factor because such strategic behavior is inversely related to income in this relatively affluent migrating population. The flock of Canadian snowbirds is not likely to place exorbitant demands on the U.S. health care system.