Somewhat related here in the US - when we had our second child, it was touted that with health insurance the cost out of pocket with my insurance of having a child was less than USD$1,000. The medical care providers figured out a neat way around this: they have a bunch of professionals come to the room after your child is born and have you sign paperwork for the post-birth checkup. (What I learned: do not sign anything.) Then, each professional is billed as a separate private contractor and our health insurance didn't cover service from a private contractor, so we paid around $8K out of pocket for service that used to be covered as part of child birth. (The benefit being that the hospital doesn't get bargained down by insurance providers if you get suckered into paying out of pocket.)
I feel like there’s an legislative fix for this: If the doctor is on the premises and you allow them to see patients, they are “in network”. If the doctor doesn’t like it, they can bill the hospital separately.
Same shit, wealth extraction, no proper care.
We begged help from her usual eye doctor, sent to him photos of her eyes that had obvious glaucoma for someone that know what glaucoma is, and he just replied she is fine.
Eventually we found on our own she had glaucoma and transferred her to a university, where students wanting to learn treated her, or tried, since they couldn't do anything without permission from licensed medics, and the medics and their teacher all were for "some reason" unexpecteadly absent.
She is getting better now, but got some permanent damage that wouldn't have happened if someone bothered to look at her.
In the initial hospital she went to, nurses told me they asked for a medical specialist to come and see her, that I could rest easy and they would fix the issue. Later on, my father asked one of the hospital administrators that is his friend, and he checked the records, and found out the nurses lied.
If that is the treatment you get when you are paying and when hospital administator is your friend, imagine when you are poor...