At the end of the episode, as Avery and Jack are in a Canadian hospital, having just given birth to their child, they are informed that they don't have to pay, that their visit is covered by Canadian Health Care. Canadian Health Care only covers Canadian citizens. Any non-Canadian - and Canadians without a valid medicare card - would still have to pay, comparable to the amounts charged in the U.S. It is probable that this fact was not checked or ignored for comedic effect, for the benefit of the closing gag (see the Trivia section).