yes, nothing is free here. The government hospitals use the same doctors as the private hospitals & clinics. Doctors are required to rotate within the hospital network. And other than certain clinics like Muslim ones, lots clinics are those doctors in rotation, own private clinics. Unlike with western countries greed, in Thailand they are here to heal all.
The visa exempt destroyed access as too many & all took advantage. With flood gates open young people charged the other visas such as Volunteer, Education, Tourist, Medical and there was another but forgot. But yeah, too many take advantage of the country & question. Other than America, most countries won’t tolerate the abuse.
Don’t have a partner but have a wife & we use ‘pay as you go’ healthcare. Works fine so far but the old dog eats up lots of money. Recently found you can’t put down an old animal with lots of health problems. In America, you’d just put a bullet in its head. Thailand we’re stuck with the burden.
once you start border bouncing, you’ll get the hang of it. Go to a local Thai travel agency & book border bounce a couple days before your 60 + 30 extension is up. Depending where you reside, can take a full day crammed in a small minivan with bumper to bumper people.