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(NBC New York)   Ambulance use drops as Uber popularity grows, study finds   ( nbcnewyork.com) divider line
    More: Interesting, Uber, Uber driver, Uber spokesman Andrew, Mercury News, modern ambulance transportation, Solano County ambulance, Scripps Mercy Hospital, Dr. Leon Moskatel  
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3299 clicks; posted to Main » on 15 Dec 2017 at 6:50 PM (31 weeks ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2017-12-15 10:08:30 AM  
Duh?

In Atlanta, it's widely known (and anecdata from a few friends that work there) that people will call 911 and say they have one of the handful of things that only get you sent to Grady Hospital downtown.  It's right in the middle of town and an easy walk to any of downtown.  People get dropped off and disappear from the ER without signing in.

Free express ride to downtown, saving $40, $50, $60.  Uber and Lyft can offer the same ride for much less and drop you off right where you need to be, so former ambulance riders will pay a little bit for the convenience of not having to walk from Grady to their destination.

The local paper has done stories on this, but essentially there is nothing that can be done because what if you refuse to send the ambulance to pick someone up (even if they are known to habitually abuse this service) and something is actually wrong.
 
2017-12-15 11:11:06 AM  
Uber Drivers.
 
2017-12-15 02:38:36 PM  
The Uber drivers have better drugs.
 
2017-12-15 06:03:56 PM  
Ambulance rides are farking expensive. Ric Romero will have more at 11.
 
2017-12-15 06:05:54 PM  

togaman2k: Free express ride to downtown,


Things work differently in Miami, then.  I called an ambulance for legit reasons to go to the ER a few years ago. Ambulances are not paid for by the city here - they're on your insurance, if you have it.  A 3-mile drive cost me almost $1000 - the service was out of network. I was shocked. I called Blue Cross and asked WTF, and they said, we only contract with certain services in your area and you were assigned to an out-of-network ambulance service.

Link to WaPo article.  In a lot of cities, 911 sends you to an ambulance service that is not about to check if they are in network.  Ever since then (my insurer and network has changed every year), I took a tip and around Jan 1, look at my provider's in-network ambulance services.  I store them in my contacts under AAAAmbulance.  I don't know what would happen if I called them and said I needed an ambulance - would they send one or tell me they only took calls from 911?

Does anyone out there pay for police or firefighters?  Why shouldn't ambulances also be free (paid for by your taxes) too?

It seems like this is so open to corruption. A private ambulance service could easily bribe a 911 operator to get calls directed their way.  At $1000 for a 3-mile drive, there's enough incentive.
 
2017-12-15 06:33:52 PM  
The police come if you call an ambulance.
 
2017-12-15 06:45:58 PM  

ElizaDoolittle: togaman2k: Free express ride to downtown,

Things work differently in Miami, then.  I called an ambulance for legit reasons to go to the ER a few years ago. Ambulances are not paid for by the city here - they're on your insurance, if you have it.  A 3-mile drive cost me almost $1000 - the service was out of network. I was shocked. I called Blue Cross and asked WTF, and they said, we only contract with certain services in your area and you were assigned to an out-of-network ambulance service.

Link to WaPo article.  In a lot of cities, 911 sends you to an ambulance service that is not about to check if they are in network.  Ever since then (my insurer and network has changed every year), I took a tip and around Jan 1, look at my provider's in-network ambulance services.  I store them in my contacts under AAAAmbulance.  I don't know what would happen if I called them and said I needed an ambulance - would they send one or tell me they only took calls from 911?

Does anyone out there pay for police or firefighters?  Why shouldn't ambulances also be free (paid for by your taxes) too?

It seems like this is so open to corruption. A private ambulance service could easily bribe a 911 operator to get calls directed their way.  At $1000 for a 3-mile drive, there's enough incentive.


It's free if you give them fake information or are uninsured and never pay.

If you really need an ambulance for legit reasons and intend to pay, you get farked over.

Same thing happened to my dad. He had a stroke, so mom called 911. Ambulance picked them up and for 10-miles, it was a few grand since it was out of network. In network ambulance would have just been a $50 copay but you don't pick the ambulance provider in an emergency.
 
2017-12-15 06:48:48 PM  
Makes sense if your are just very ill, in pain, broken bone, etc and don't have a car. In other words, you need to get their fast, but don't need medical attention for the trip.

If your injuries are severe, you're out cold, not breathing, turning blue or bleeding out, go for the ambulance.
 
2017-12-15 06:54:22 PM  
Given how Uber guys drive, shouldn't ambulance calls be going up???
 
2017-12-15 06:55:29 PM  
img.fark.netView Full Size
 
2017-12-15 06:55:31 PM  

SecretAgentWoman: Makes sense if your are just very ill, in pain, broken bone, etc and don't have a car. In other words, you need to get their fast, but don't need medical attention for the trip.

If your injuries are severe, you're out cold, not breathing, turning blue or bleeding out, go for the ambulance.


I've took Lyft to the ER once.  I don't drive and I didn't think it was worth it to get an ambulance for a mild hives outbreak.
 
2017-12-15 06:55:38 PM  
Just one of those impartial studies that drops out of the sky I suppose
 
2017-12-15 06:56:14 PM  
Maybe the ambulances should consider driving for Uber in their downtime. They're clean and can get around traffic.
 
2017-12-15 06:59:08 PM  
Why pay grands when you

Can dial an Uber fast

for a fraction price?

P.S. Healthcare in America is ridiculously-priced. Haiku in play.
 
2017-12-15 06:59:11 PM  
How much is an ambulance ride in the US anyway? I know it's not free like other civilised countries.
 
2017-12-15 07:05:39 PM  

GungFu: How much is an ambulance ride in the US anyway? I know it's not free like other civilised countries.


runs from free to $25000 for a helicopter ride. ALS ground transport starts around $750, again depending on where and who.
 
2017-12-15 07:06:52 PM  

SecretAgentWoman: Makes sense if your are just very ill, in pain, broken bone, etc and don't have a car. In other words, you need to get their fast, but don't need medical attention for the trip.

If your injuries are severe, you're out cold, not breathing, turning blue or bleeding out, go for the ambulance.


Then your insurance might give you a hard time if you go to the ER. "If it wasn't an emergency you should have gone and seen your Dr."
 
2017-12-15 07:08:54 PM  

GrizzledPoetast: Why pay grands when you

Can dial an Uber fast

for a fraction price?

P.S. Healthcare in America is ridiculously-priced. Haiku in play.


Why overpay when
Uber is there to drive and
Maybe smoke you out?
 
2017-12-15 07:11:03 PM  

rosekolodny: GrizzledPoetast: Why pay grands when you

Can dial an Uber fast

for a fraction price?

P.S. Healthcare in America is ridiculously-priced. Haiku in play.

Why overpay when
Uber is there to drive and
Maybe smoke you out?


Indubitably.
 
2017-12-15 07:11:53 PM  

ElizaDoolittle: togaman2k: Free express ride to downtown,

Things work differently in Miami, then.  I called an ambulance for legit reasons to go to the ER a few years ago. Ambulances are not paid for by the city here - they're on your insurance, if you have it.  A 3-mile drive cost me almost $1000 - the service was out of network. I was shocked. I called Blue Cross and asked WTF, and they said, we only contract with certain services in your area and you were assigned to an out-of-network ambulance service.

Link to WaPo article.  In a lot of cities, 911 sends you to an ambulance service that is not about to check if they are in network.  Ever since then (my insurer and network has changed every year), I took a tip and around Jan 1, look at my provider's in-network ambulance services.  I store them in my contacts under AAAAmbulance.  I don't know what would happen if I called them and said I needed an ambulance - would they send one or tell me they only took calls from 911?

Does anyone out there pay for police or firefighters?  Why shouldn't ambulances also be free (paid for by your taxes) too?

It seems like this is so open to corruption. A private ambulance service could easily bribe a 911 operator to get calls directed their way.  At $1000 for a 3-mile drive, there's enough incentive.


CSB: A few years ago, I was charged $900 or so for an ambulance ride I tried to refuse. Of course the hospital bill was more than my mortgage. Private ambulance company, responding to the police. Insurance covered it, but still, it should be a public service.
 
2017-12-15 07:12:26 PM  

ElizaDoolittle: Does anyone out there pay for police or firefighters? Why shouldn't ambulances also be free (paid for by your taxes) too?


It's Always Sunny made the same joke in the insurance episode. Oh, wait, you weren't being ironic. You see, it's because, despite the fact that ambulances are generally using the same staff onboard who also fight fires, local governments have learned that they can avoid expense by pushing ambulance service costs to the end user. You get to live in the richest country in the world, and, well, you pay for it in ways you don't really realise unless something goes wrong.
 
2017-12-15 07:16:54 PM  

SecretAgentWoman: Makes sense if your are just very ill, in pain, broken bone, etc and don't have a car. In other words, you need to get their fast, but don't need medical attention for the trip.

If your injuries are severe, you're out cold, not breathing, turning blue or bleeding out, go for the ambulance.


I was barely breathing (blood oxygen was 78 rather than the 95-100 its supposed to be) and still drove myself. I gave up on parking though.
 
2017-12-15 07:19:51 PM  

GungFu: How much is an ambulance ride in the US anyway? I know it's not free like other civilised countries.


From limited data points of my experience, $1000-$1500 will get you a ride to a nearby hospital (<20 miles) and some band-aids.

So, depending on how badly you're bleeding / vomiting / shiatting, you could pay the Uber guy's red light and speeding tickets, re-upholster the back seat, and still come out even at worst.
 
2017-12-15 07:19:59 PM  
An ambulance in my area is like $450 base fee + X per mile. Uber is cheaper and gets here almost as quickly. Also the less I send to my insurance company, the better.
 
2017-12-15 07:20:40 PM  

Shaggy_C: ElizaDoolittle: Does anyone out there pay for police or firefighters? Why shouldn't ambulances also be free (paid for by your taxes) too?

It's Always Sunny made the same joke in the insurance episode. Oh, wait, you weren't being ironic. You see, it's because, despite the fact that ambulances are generally using the same staff onboard who also fight fires, local governments have learned that they can avoid expense by pushing ambulance service costs to the end user. You get to live in the richest country in the world, and, well, you pay for it in ways you don't really realise unless something goes wrong.


Avoid expense by paying through it with taxes? Hmmm...
Also, no. I've never seen ambulances and firefighters use any of the same staff. How does that work, if one is private and one is public? They're completely separate.
 
2017-12-15 07:21:41 PM  
I don't know what everyone is griping about. This is the magic of the free market. When you notice that you're about to have a nasty accident requiring an ambulance, just google a few different ambulance companies, call each one of them, and get more information about them, such as their rates and whether they contract with your insurance company. Then follow up by checking their on-line reviews. When you're done, go ahead and finish having your accident. When a good samaratin calls 911, tell him or her to request an ambulance from the company you decided on. See? Simple.
 
2017-12-15 07:24:19 PM  

togaman2k: Duh?

In Atlanta, it's widely known (and anecdata from a few friends that work there) that people will call 911 and say they have one of the handful of things that only get you sent to Grady Hospital downtown.  It's right in the middle of town and an easy walk to any of downtown.  People get dropped off and disappear from the ER without signing in.

Free express ride to downtown, saving $40, $50, $60.  Uber and Lyft can offer the same ride for much less and drop you off right where you need to be, so former ambulance riders will pay a little bit for the convenience of not having to walk from Grady to their destination.

The local paper has done stories on this, but essentially there is nothing that can be done because what if you refuse to send the ambulance to pick someone up (even if they are known to habitually abuse this service) and something is actually wrong.


My ex was a paramedic in a city. They knew their frequent fliers and would deliberately take them to the wrong hospital.
 
2017-12-15 07:29:07 PM  
Wow. Why are you guys still on Fark reading posts and watching cat videos?

Get out there and get an UBER-like service going for ambulance-like rides to the local hospitals.

HospBusters, or something.
ocregister.comView Full Size
 
2017-12-15 07:30:51 PM  

fusillade762: Ambulance rides are farking expensive. Ric Romero will have more at 11.


It's $500 just to get in, last time I checked.
 
2017-12-15 07:31:31 PM  

GungFu: How much is an ambulance ride in the US anyway? I know it's not free like other civilised countries.


In my town if the City Fire Department's paramedics respond, it's free.
 
2017-12-15 07:31:59 PM  
Oh and if a helicopter has to take you anywhere, pray to GOD that it crashes and you die. Because you will be financially destitute for the rest of your life.
 
2017-12-15 07:33:40 PM  
In Montgomery County, MD, ambulances are county-run and were free. Good for us, but it meant the insurance companies weren't contributing for a cost they should cover. The county's answer: charge for it, but only when they can bill it to an insurance company. If you aren't covered, it's free.

It seems like there would be a legal problem with that, but I'm not a lawyer and apparently they get away with it. It's a pretty small fee too (for now).
 
2017-12-15 07:34:33 PM  
If I had a real emergency, Uber wouldn't even cross my mind.
 
2017-12-15 07:38:16 PM  

GungFu: How much is an ambulance ride in the US anyway? I know it's not free like other civilised countries.


$500 - 2,000 or more. Some or all will be covered by insurance or taxes depending on what kind of insurance you have (none?) and which city you live in.

Typical costs:
Ambulance service typically is covered by health insurance when medically necessary. For example, BlueCross BlueShield of Alabama[1] offers coverage for medically necessary ambulance transport, to the nearest facility that can treat the patient, on many policies. For patients with health insurance, out-of-pocket costs for ambulance service typically consist of a copay of $15to $100or more or coinsurance of 10% to 50%. Some ambulance service providers will "balance bill" -- bill the patient for the remainder of the bill above what the insurance company pays, if they don't have a contract with that insurance company; some states have outlawed this practice. According to Woodburn Ambulance Service in Woodburn, OR, their patients with commercial insurance pay an average of $432out of pocket.
For patients without health insurance, ambulance service cost typically depends on location, whether the trip is for an emergency or scheduled transport, how many miles the patient travels and whether basic life support or advanced life support is needed. The cost can be nothing out-of-pocket in cities where services are covered by taxes, but usually ranges from less than $400to$1,200or more plus mileage. For example, in Lima, OH, taxes pay for any ambulance services not covered by insurance, so residents do not receive a bill. The city of LeMars, IA, charges $375for non-emergency basic life support service up to $600for emergency service with advanced life support. The city of Urbana, OH, charges $650. The city of Nichols Hills, OK[2] , offers a membership plan for $2.50per month for ambulance rides at no out-of-pocket cost, but non-members pay $1,100plus $9per mile for ambulance service. Woodburn Ambulance Service in Woodburn, OR, offers a membership plan, but non-members pay $1,220plus $20per mile per trip.

I've only been in one once and I received no care/medications and traveled a short distance, it cost $500.
 
2017-12-15 07:42:26 PM  

UsikFark: I've only been in one once and I received no care/medications and traveled a short distance, it cost $500.


I had the exact same experience for nearly the same fee. I would have been fine if I had just rested a bit at home and I'd still have my 500 bucks. There is a reason why there is such a high level of mistrust for the medical industry in USA. The service sucks and it's really expensive.
 
2017-12-15 07:45:08 PM  

Kooj: If I had a real emergency, Uber wouldn't even cross my mind.


If I had a real emergency, neither would an ambulance.  I'd probably thinking something like "Air!  I need air!  Dear God, what's happening?  Why can't I breathe!" or some such tripe.
 
2017-12-15 07:45:13 PM  

Abacus9: Avoid expense by paying through it with taxes? Hmmm...
Also, no. I've never seen ambulances and firefighters use any of the same staff. How does that work, if one is private and one is public? They're completely separate.


O RLY?
img.fark.netView Full Size


O RLY?
img.fark.netView Full Size

O RLY?
https://www.npr.org/sections/health-s​h​ots/2017/04/11/523025987/why-send-a-fi​retruck-to-do-an-ambulances-job

My ex-FIL was an EMT who was also a full-time firefighter. On some shifts, he was on the fire truck. On others, he rode the ambulance. If there was a fire call, they would send both vehicles out and the EMTs also assisted with the fire situation and vice versa. Maybe in your fancy rich lilly white suburb they have private ambulance services when you call 911, but for the rest of us we are dependent upon the state-quality yet privately paid option.
 
2017-12-15 07:48:39 PM  

casual disregard: UsikFark: I've only been in one once and I received no care/medications and traveled a short distance, it cost $500.

I had the exact same experience for nearly the same fee. I would have been fine if I had just rested a bit at home and I'd still have my 500 bucks. There is a reason why there is such a high level of mistrust for the medical industry in USA. The service sucks and it's really expensive.


I trust the medical part but not much more. I'd have to get hurt pretty bad (probably unconscious) before I'd stop wondering "how much is this going to cost me?"
 
2017-12-15 07:49:14 PM  

Shaggy_C: Abacus9: Avoid expense by paying through it with taxes? Hmmm...
Also, no. I've never seen ambulances and firefighters use any of the same staff. How does that work, if one is private and one is public? They're completely separate.

O RLY?
[img.fark.net image 695x303]

O RLY?
[img.fark.net image 850x637]
O RLY?
https://www.npr.org/sections/health-sh​ots/2017/04/11/523025987/why-send-a-fi​retruck-to-do-an-ambulances-job

My ex-FIL was an EMT who was also a full-time firefighter. On some shifts, he was on the fire truck. On others, he rode the ambulance. If there was a fire call, they would send both vehicles out and the EMTs also assisted with the fire situation and vice versa. Maybe in your fancy rich lilly white suburb they have private ambulance services when you call 911, but for the rest of us we are dependent upon the state-quality yet privately paid option.


Those are fire ambulances, yes.

In Orange County California, call 911, and AMR will respond with OC fire. County doesn't run its own ambulance.
 
2017-12-15 07:59:48 PM  

ElizaDoolittle: togaman2k: Free express ride to downtown,

Things work differently in Miami, then.  I called an ambulance for legit reasons to go to the ER a few years ago. Ambulances are not paid for by the city here - they're on your insurance, if you have it.  A 3-mile drive cost me almost $1000 - the service was out of network. I was shocked. I called Blue Cross and asked WTF, and they said, we only contract with certain services in your area and you were assigned to an out-of-network ambulance service.

Link to WaPo article.  In a lot of cities, 911 sends you to an ambulance service that is not about to check if they are in network.  Ever since then (my insurer and network has changed every year), I took a tip and around Jan 1, look at my provider's in-network ambulance services.  I store them in my contacts under AAAAmbulance.  I don't know what would happen if I called them and said I needed an ambulance - would they send one or tell me they only took calls from 911?

Does anyone out there pay for police or firefighters?  Why shouldn't ambulances also be free (paid for by your taxes) too?

It seems like this is so open to corruption. A private ambulance service could easily bribe a 911 operator to get calls directed their way.  At $1000 for a 3-mile drive, there's enough incentive.


Here when someone calls 911 for an ambulance, a deputy sheriff medic shows up.  They make sure the patient gets their requested ambulance service.

casual disregard: Oh and if a helicopter has to take you anywhere, pray to GOD that it crashes and you die. Because you will be financially destitute for the rest of your life.


I have a feeling they will still bill the patient.  Dying after the trip sure doesn't help, they go after family.  I had a coworker who was being chased after for her mother's trip by helicopter.  Crazy considering dad was still around; daughter shouldn't be on the hook.
 
2017-12-15 08:01:43 PM  

Shaggy_C: Abacus9: Avoid expense by paying through it with taxes? Hmmm...
Also, no. I've never seen ambulances and firefighters use any of the same staff. How does that work, if one is private and one is public? They're completely separate.

O RLY?
[img.fark.net image 695x303][View Full Size image _x_]

O RLY?
[img.fark.net image 850x637][View Full Size image _x_]
O RLY?
https://www.npr.org/sections/health-sh​ots/2017/04/11/523025987/why-send-a-fi​retruck-to-do-an-ambulances-job

My ex-FIL was an EMT who was also a full-time firefighter. On some shifts, he was on the fire truck. On others, he rode the ambulance. If there was a fire call, they would send both vehicles out and the EMTs also assisted with the fire situation and vice versa. Maybe in your fancy rich lilly white suburb they have private ambulance services when you call 911, but for the rest of us we are dependent upon the state-quality yet privately paid option.


It depends on where you are.

Here, the fire department is run by the city.  The ambulances are all operated by private for-profit companies.  To add insult to injury, the private companies don't have paramedics, so the city trained firefighters to be paramedics, and a fire truck and an ambulance show up to all calls.  The city doesn't charge anything, the ambulance charges hundreds of dollars.
 
2017-12-15 08:02:06 PM  
Everyone complaining about the cost for an ambulance...

You're not paying for the ride. You're paying for the fact that you have trained professionals sitting around all day, ready to show up if you need it.

If it cost $500,000 to run an ambulance 24/7 and only one person used it, you would have to charge them at least $500,000 no matter how far it went.

If you had 4 calls a day, you'd still need to charge $342 per ride just to break even. Since someone is putting their money at risk, they get to make a profit.

Of course, sometimes you have a need for multiple ambulances in various places at the same time. So you need excess capacity. Which must be billed to the people that use it.

The alternative would be to charge everyone, regardless of income level, a flat fee. You can't just tax the rich, because that's how you get poor areas with no service at all.

Of course, once everyone is paying for it, people feel like they should be able to use it without regard to their true needs, raising the cost to everyone.

At the end of the day, there are no great answers, but the current system is probably the best out of the possible choices. People that use the service pay for it, people that stay healthy and safe receive a benefit for not using it.
 
2017-12-15 08:03:36 PM  

lack of warmth: have a feeling they will still bill the patient.  Dying after the trip sure doesn't help, they go after family.  I had a coworker who was being chased after for her mother's trip by helicopter.  Crazy considering dad was still around; daughter shouldn't be on the hook.


That sounds borderline illegal. Relatives cannot be assigned debts of the deceased. Unless you mean that the estate was charged for the fee. That may well be the case, and while shiatty.....I mean what can you do. We're not the 1% after all.
 
2017-12-15 08:09:15 PM  

gar1013: words


If I'm not sure I need an ambulance, don't want an ambulance, and am coerced into the ambulance against my will, and then I turn out to be perfectly fine, I should pay zero dollars. Since that's what actually happened. In fact, I should get a small stipend for the waste of my time.

That said, we wouldn't be having this conversation one bit if we weren't trying to eke out some hyper-libertarian dystopia rather than the reasonable and far more manageable health policies of the Scandinavian nations. Give me five good reasons why we can't have Scandinavian health care in USA.
 
2017-12-15 08:13:00 PM  

casual disregard: gar1013: words

If I'm not sure I need an ambulance, don't want an ambulance, and am coerced into the ambulance against my will, and then I turn out to be perfectly fine, I should pay zero dollars. Since that's what actually happened. In fact, I should get a small stipend for the waste of my time.

That said, we wouldn't be having this conversation one bit if we weren't trying to eke out some hyper-libertarian dystopia rather than the reasonable and far more manageable health policies of the Scandinavian nations. Give me five good reasons why we can't have Scandinavian health care in USA.


1. Oligarchy.

2. Citizens United.

3. Stock Market.

4. 1%.

5. Estate Tax.
 
2017-12-15 08:21:43 PM  
Makes Sense, An Uber during surge pricing seems comparable to ambulance costs.
 
2017-12-15 08:23:11 PM  

DarkVader: Shaggy_C: Abacus9: Avoid expense by paying through it with taxes? Hmmm...
Also, no. I've never seen ambulances and firefighters use any of the same staff. How does that work, if one is private and one is public? They're completely separate.

O RLY?
[img.fark.net image 695x303][View Full Size image _x_]

O RLY?
[img.fark.net image 850x637][View Full Size image _x_]
O RLY?
https://www.npr.org/sections/health-sh​ots/2017/04/11/523025987/why-send-a-fi​retruck-to-do-an-ambulances-job

My ex-FIL was an EMT who was also a full-time firefighter. On some shifts, he was on the fire truck. On others, he rode the ambulance. If there was a fire call, they would send both vehicles out and the EMTs also assisted with the fire situation and vice versa. Maybe in your fancy rich lilly white suburb they have private ambulance services when you call 911, but for the rest of us we are dependent upon the state-quality yet privately paid option.

It depends on where you are.

Here, the fire department is run by the city.  The ambulances are all operated by private for-profit companies.  To add insult to injury, the private companies don't have paramedics, so the city trained firefighters to be paramedics, and a fire truck and an ambulance show up to all calls.  The city doesn't charge anything, the ambulance charges hundreds of dollars.


Here in my county we run a separate ems service (6 ambulance, 3 BLS truck) from the fire department, but all of the firefighters are trained in BLS and almost always respond alongside ems. They usually get there first, actually. All of the ambulances have at least 1 paramedic, most have 2. This is all paid for by taxes, however if you have insurance I do believe they bill you, but it's usually covered, from what I understand. If they treat you on scene, there's no charge.

/911 operator. We know the frequent fliers, but as someone upthread said, you can't not send someone, because what if it really is an emergency?
 
2017-12-15 08:23:45 PM  

gar1013: At the end of the day, there are no great answers, but the current system is probably the best out of the possible choices. People that use the service pay for it, people that stay healthy and safe receive a benefit for not using it.


You left out the socialism option, where everyone pays a small amount all the time regardless of whether they use the service or not, but then there's no surprise in case of an emergency. Horrible, I know. We really need to do something about these freeloading people whose houses are burning down, too. They should pay the firefighters per call as a service charge, amirite?
 
2017-12-15 08:25:29 PM  

Shaggy_C: fancy rich lilly white suburb


Gyrfalcon: Orange County California


Well, you're not exactly disagreeing with me :P
 
2017-12-15 08:32:48 PM  

Shaggy_C: Abacus9: Avoid expense by paying through it with taxes? Hmmm...
Also, no. I've never seen ambulances and firefighters use any of the same staff. How does that work, if one is private and one is public? They're completely separate.

O RLY?
[img.fark.net image 695x303][View Full Size image _x_]

O RLY?
[img.fark.net image 850x637][View Full Size image _x_]
O RLY?
https://www.npr.org/sections/health-sh​ots/2017/04/11/523025987/why-send-a-fi​retruck-to-do-an-ambulances-job

My ex-FIL was an EMT who was also a full-time firefighter. On some shifts, he was on the fire truck. On others, he rode the ambulance. If there was a fire call, they would send both vehicles out and the EMTs also assisted with the fire situation and vice versa. Maybe in your fancy rich lilly white suburb they have private ambulance services when you call 911, but for the rest of us we are dependent upon the state-quality yet privately paid option.


Good for you and all, but here it's all separate. As for the bolded bit, no reason to be an ass. You don't know the first farking thing about me or my life, so take your hate and cram it. Your car is probably worth more than my house.
 
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