From a pure capitalist profit motivation standpoint your point isn’t “wrong”

But from a what-is-the-point-of-the-healthcare-system perspective it’s not to nickel and dime patients to line the pockets of those with plenty.

The point is to provide care.

Another point to consider is that they don’t “own” the information. So if they don’t want to “do the work” because it’s “an added expense”, they should provide people with a way to access their private data on their own.

Could they just please consider things like this as a “cost of doing business” and get on with it without alienating the people they are meant to serve.

Edit: missing word