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Moving back to Canada from USA with wife who is US Citizen
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You'd probably be best off submitting an outland application. (While inland applications get you a work permit before processing is complete, outland applications are usually faster.) Processing time can vary, depending on whether they determine an interview is required, if anything comes up in a background check, or other factors.
After she becomes a permanent resident of Canada how soon does she qualify for health care?
If she's a U.S. citizen, then she can live and/or work in the U.S. as much as she wants. (There are residency requirements for maintaining Canadian PR and acquiring Canadian citizenship, but those do not affect her status in the U.S.)
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