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Canadians that move abroad don't pay the sales tax and lose their insurance. Why shouldn't people who moved to Canada and pay the sales tax get the healthcare insurance?
Canadians who move abroad for a long time lose their insurance, but it's not tied explicitly to the fact that they don't pay a sales tax. They also tend not to report their income / pay income taxes to Canada if working outside of Canada (unlike in the states, where they expect taxes to be paid from every citizen no matter where they are in the world).
People who move to Canada, can currently get insurance coverage as part of immigrating to the country, which generally means staying in and working in Canada for an extended period as a PR to start. During that time they're paying income taxes and sales taxes etc.
The ops comment implies that it should be like a light switch that is tied to your employment. There's a reason there's a process to immigration flows.