That's one of the challenges countries with public healthcare have been facing recently, along with generally skyrocketing medication costs, when medication is

That's one of the challenges countries with public healthcare have been facing recently, along with generally skyrocketing medication costs, when medication is covered by the system (Canada has haphazard coverage, from Québec which has total coverage to many provinces which have none). New treatments are opt-in, so once in a while someone with a rare disease will be denied coverage due to the expensive nature of their treatment, or its unavailability in the jurisdiction. Until 2017, there was only one clinic in Canada which did sex re-assignment surgery, in Montréal, so out-of-province patients who want the procedure have to go jump through a lot of hoops to get covered by their own province and have the whole trip covered by their provincial healthcare system.