This misses the part of the game where the doctor's office has you fill out forms giving them a bunch of the same info they already have. Twice. In the same visit. This may take 20 or more minutes. For no good reason whatsoever.

Then the ongoing ARG portion where you have to repeatedly sit on hold for hours with the provider's billing department, insurance, and the state insurance commission and/or your congressperson's office, to finally get all the billing sorted out without getting screwed, all while receiving all kinds of scary letters that the people on the phone will tell you to ignore.

[EDIT] Oh and I bet the Canadian version of the game doesn't even have some of the greatest antagonists of the American edition: the people whose entire job is to wander around emergency rooms bugging very sick people about payment and insurance.