Got to love the Thais. The ink barely wet on all these weighty documents and already they're on it. I think it'll balance out OK. The med cert 'fee' brings more money into the economy.
To have it less in your face for those just going about their business with the smell and fumes in public is surely better than it is now? After all it's not Thais you see anywhere blowing their smoke with no consideration for non smokers, children etc either is it?
Western tourists blew it basically.