In his speech to congress on Wednesday, President Obama made no specific mention of EHRs, or even health information technology for that matter. He did, however, mention Canada, which received immediate applause from the audience. Though Obama was referring to the Maple Leaf's single-payer system, there are also notable differences between the two countries' EHR adoption strategies. With a population 10 times as large, and the most complex healthcare system in the world, the United States presents a unique technology challenge. But perhaps we can still benefit from some "lessons learned" by our neighbors to the North.