See, the thing is, you're almost certainly comparing apples to oranges.
US insurance is very much a "you get what you pay for" thing, and although you can most certainly get insurance for dirt cheap since the statute minimum coverage amounts are often laughably low - as low as $30,000 in some states.
When people get into major accidents and get sued for FAR more than that, guess who's on the hook and end up going bankrupt, losing everything, and owning millions for the rest of their life? Surprise, that cheap insurance wasn't really that forward thinking when the **** hit the fan. The internet is littered with sob stories -
here's one for example of someone with a cheap $100,000 policy who's getting sued for $1.3M.
On the flipside in Ontario most policies are for $1MIL minimum in liability - legally you can go as low as $200,000 but it may be hard to find an insurance company to write that low (most insist on $1M minimum and recommend $2M)...and even at $200,000 that's still nearly 7 times higher than that "cheap" $30,000 liability policy.
Typically our medical coverage is far better as well, including long term coverage amounts that aren't capped at laughably low figures as many cheap US policies are.
So, take that guys $200/year quote, multiple that times 7, add 30% in USD/CDN exchange, and then keep in mind our better medical coverage amounts, and you're getting closer to comparing apples to apples.
Yes, our insurance system here still has issues, I'm not making complete excuses for it, but your comparison is simply off base.
You should read up on how risk pools work.