Normally if you can ' t in these situations , there will be a sign saying you can ' t as well . At least in Canada <| sep |> but rates are determined by the market . Significantly perverted by the activity of governments and insurance companies as they completely remove moral hazard . Everyone has already decided they are okay paying this amount why should they reduce prices . Everyone is okay paying those amounts because their insurance company is paying those amounts they ' re just paying their insurance premiums , which are indirectly related to the costs of everyone ' s treatments for everything , thus not directly related to any one treatment , so nobody cares how much specific treatments cost . <| sep |> Yeah of course it does , but everything is at its most shrill , unpalatable extreme on Twitter .