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At the risk of getting myself a rain of downvotes here:
An ambulance is an expensive and somewhat rare mini-ER on wheels that’s designed to help a small team of expensive and somewhat rare specialists stabilize a dangerous condition on a patient until it reaches a hospital. Since it is important to keep those somewhat rare vehicles and teams in reserve for when they are suddenly urgently needed, you really shouldn’t use one as a taxi to the hospital if whatever your condition is doesn’t call for that.
(Asking enormous sums of money of the patient for the privilege is IMHO still wrong. The decision to use an ambulance or not should not be based on whether you can can easily part with a couple thousand dollars.)
I don’t believe there is a problem of people needlessly calling ambulances.
If that was the case, the appropriate response would not be to charge everyone bank breaking fees for it.
We seem to in Japan. I see posters here every now and then. It basically says, “are you sure it’s an emergency,” and lists symptoms that might not be appropriate for calling an ambulance like having a slight fever or a hangover.
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If that’s the case, I imagine it would be better to charge people for frivolous use, rather than charge everyone. Or come up with a system where dispatch sends something else for non-emergency, if you can tell.
I’m not a policy expert, but the current system is bad for everyone.
It’s totally possible to get a near free ambulance system btw, many countries do it and in some there is somethig like 0.70~0.90€/km tariff, which is def not much
In more civilized countries, they would charge you for abuse if you call an ambulance when you don’t need it. But even the fine is less than this number.
So triage the issue remotely and send the appropriate response.
Stubbed toe? Reimburse a ride share.
Fractured arm? EMT in a lower cost van.
Urgent trauma? Full rig and EMT crew.
There is NOTHING expensive about the people in the back of that ambulance. They get paid less than I do working at a grocery store.
There is in the sense that they cannot easily be replaced. Whether they actually get paid appropriately for that is another story.
I’d be more ok with this if the expensive specialists on board were actually making bank instead of really low wages.