Canada

Not an industry, not fraudulent. It's socialized health care. They must be responsible stewards of public funds to ensure that everyone has access to reasonable standard of care - this includes what care is covered and how much service providers are allowed to charge. Sadly things will fall through the cracks, like rare cancers for which highly specialized care is required. But if it covered everyone to go outside of the province for medical care the system would fall apart. Thankfully a solution was found for this person.

The RAMQ is Quebec's social healthcare provider. They're not a private insurance company. They're responsible for paying every public medical services, covering 100% of the costs within the province or partial coverage of the costs outside if it exceeds the recommended costs.