What happens differently when the conductor is grounded, though? From the point of view of a charge inside the conductor, grounding the outside just increases the available exterior surface area. The outer surface is now the whole planet, conceptually speaking. If field lines existed before, they still do, they're just spread out more.
A thought exercise: consider a van de Graaff generator. In operation, it moves charge from the 'ground' at the base of the belt to the top sphere. It can do this because there's a hole in the top sphere for the belt to pass through. If I enclose the entire generator in an even larger metal sphere, seamless and unbroken, and run it from batteries, can I draw sparks from that sphere? My intuition says 'no,' so it's interesting if that's not the case.