I believe some doctors in the U.S could charge you 200k and make you take a medical loan for the rest of you live for surgery instead of a house if they wanted to because "they can get away with it"
there is no free health care, i know there are some free clinics but the only way to get medical/surgery done is by private insurance or loans really. Here its free, even if its by long waiting list or if you have a serious problem, but some insurances also might cover it too. So its not like they can put super high prices really..
Same as for colleges over there, its crazy how much you pay when we have good colleges for free here. Of course we also have expensive private ones..