Once upon a time we visited the local doctor who referred us to the local hospital and we were treated. If your condition was especially serious or esoteric, you might have to travel to a regional or specialty hospital; but that was uncommon. Times have changed.
Medicine has grown more complex and specialist. Equipment is every more expensive and demanding to use and the costs of providing medicine have gone astronomically. Private patients experience rising costs either via insurance premiums inflating or through their own medical bills. Patients who rely on public sector provision of healthcare, the cost is paid through longer waiting times for treatment as the government or local authority rations access to healthcare to make budgets meet.