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As a US citizen if I become a PR in Canada, can I still keep my Medicare in the US? Can you have both - OHIP and Medicare?

When you are granted PR status, do you then fall under the jurisdiction of Revenue Canada? I have a business in the US and I pay taxes in the US. I understand the tax treaty situation but this seems like a lot of unneccessary paperwork. I'm a US lady with a Canadian boyfriend. Frankly I'm tired...