..... (and the health boards in Canada)
It seems all the provincial health systems have created a bit of a mosaic across Canada.
What you have access to, what they can access for you etc., depends as much upon how wired in your Onc team is and who they connect with and where they come from.
Another issue is that Health Canada will sometimes have overriding regulations and guidelines which affect access to treatments and diagnostics.
Personal, paid third party health insurance will have its own compendium of what is covered / not covered under any given group insurance package.
Finally, there is a culture of "not invented here" governing the delivery of some modalities at Cancer Centers' administrative levels. Again, who your doctors are and where they are "connected" can go a long way to overcoming some of the mentioned limitations.
I wish all these tests had been presented as options from the start, even if we had to pay out of pocket.
This is a very important and valid consideration which I encourage all patients to address with their Docs.
You may not need to leave the country for a given treatment BUTT your Doc may be able to assist you getting treatments which would not normally be available as first line of treatments.
Educate yourself and then your Docs about what IS the level of care you require ... AND keep pushing until you get it.
Best wishes all