I'm from a small town in Southern Ontario, Canada. Currently residing in Vancouver, British Columbia, Canada. This should give you some indication I've had pretty decent accessible health care. I'm a fairly active guy, prior to my first flare up commuting to work by bike, taking solo bike trips to the Gulf Islands off BC to camp for several days, trying to put on 60 km/day on average. That's not a super commitment to cycling but you get the idea - I'm all for staying active and I've been in decent shape.