As a general rule whenever consumers face market abuse it is because they are forced to transact in a marketplace where the producer or service provider has an artificial advantage. The unfair advantages are never organic but are usually the result of government granted and enforced restrictions on consumer options. The Trinidad and Tobago medical care marketplace is a prime example of this.
The T&T Medical Board is responsible for licensing and enforcement. However only doctors that engage in activity that may embarrass the profession due to massive media attention can expect some sort of faux disciplinary action if any. All this is done only to show the public that the board is aggressive in enforcing its regulations, in protecting the public.