How Air Ambulances (Don't) Work

  Үзсэн тоо 725,773

Wendover Productions

2 сарын өмнө

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Writing by Sam Denby
Research by Sam Denby and Tristan Purdy
Editing by Alexander Williard
Animation by Josh Sherrington
Sound by Graham Haerther
Thumbnail by Simon Buckmaster
Select footage courtesy the AP Archive and Amazon
References
[1] www.umms.org/ummc/health-services/shock-trauma/about/history
[2] www.nature.com/articles/s41591-020-1059-1
[3] onlinelibrary.wiley.com/doi/epdf/10.1111/j.1553-2712.2001.tb00201.x
[4] www.sciencedirect.com/science/article/abs/pii/S0196064487801749; pubmed.ncbi.nlm.nih.gov/10155402/; pubmed.ncbi.nlm.nih.gov/12957978/; pubmed.ncbi.nlm.nih.gov/12217471/; pubmed.ncbi.nlm.nih.gov/19783323/; pubmed.ncbi.nlm.nih.gov/22418825/; www.researchgate.net/publication/6563423_Are_pre-hospital_time_and_emergency_department_disposition_time_useful_process_indicators_for_trauma_care_in_Italy
[5] www.amtrauma.org/page/traumalevels
[6] www.ncbi.nlm.nih.gov/pmc/articles/PMC1402347/
[7] healthcostinstitute.org/emergency-room/air-ambulances-10-year-trends-in-costs-and-use
[8] www.gao.gov/assets/690/686167.pdf
[9] onlinelibrary.wiley.com/doi/full/10.1111/1468-0009.12464
[10] www.nytimes.com/2015/05/06/business/rescued-by-an-air-ambulance-but-stunned-at-the-sky-high-bill.html?searchResultPosition=9
[11] verticalmag.com/features/surprise-medical-bills-ban-could-reshape-air-ambulance-industry/
[12] www.ncbi.nlm.nih.gov/books/NBK78049/
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Сэтгэгдлүүд
Ben Mannette
Ben Mannette 21 цагийн өмнө
13:25 it's almost as if. . . The free market shouldn't be involved here.
Thunder Spirits
Thunder Spirits Өдрийн өмнө
I don't get it. If I am unconscious then I cannot give my consent to be air-lifted which also mean no one can force me to pay their massive bill, right? I mean, do I even have the right to refuse to be transported via air ambulance? or at least choose the transportation method/provider?
Alesson Delmiro
Alesson Delmiro Өдрийн өмнө
🇧🇷[Laughs in free healthcare system]
rundErd frech
rundErd frech Өдрийн өмнө
In every halfway welfare country: How can we safe his life? USA: How can we make profite? Lets exploit him. This has nothing to do with grace of charity, equality or human rights. It's the ugliest side of capitalism. Now you can make hundreds of excuses and explanations but I ask you, would you accept this explanations from a system you hate too, e.g. communism, North Korea? Change the system.
Pace119
Pace119 Өдрийн өмнө
I loathe these types of videos because only one side of the argument is made. The case against the government is always hidden. While I agree with much of this video, only half the story is told from a clear biased position. First, it was Congress who deregulated the airlines. The narrator even mentioned at 14:24 how that helped the airline industry in the US over the last 40 years. It is Congress' fault for creating a great airline industry while creating a poor air ambulance industry at the same time. Second, as a former elected official, our city's private ground ambulance service failed and had to be run by the local government a little over a decade ago. Again, this was due to Congress. Ground ambulance service is used disproportionally by elderly people as are small, rural hospitals. The vast majority are on Medicare. Medicare is in essence socialized medicine. It doesn't matter what the ambulance charges the federal government for a particular service. They could bill $1 billion for the ambulance ride, but they will get back a flat rate fee depending on the health care provided during the ambulance ride. With 40% of air ambulance service being hospital to hospital transportation, I'm assuming similar demographic trends for those services too. However, air ambulances may have a more diverse age range for services from auto accidents or other medical issues to the hospital. Medicaid for poor people is very similar to Medicare for the elderly. The feds pay back only a flat rate for services. Back in the 80's & 90's when the government was more fiscally sound, having an ambulance service was a great entrepreneurial business to get into. Unfortunately, federal government reimbursement rates have not kept up with the inflationary cost of healthcare. When my city’s private ambulance service failed, it was the last private one in the state still operating. Third, is the recuperation rate of ambulance services not provided by the federal government. If 96/100 people die anyway with or without the air ambulance, how much does the ambulance service get from a deceased person's estate? How much do life insurance companies pay after death? I'm sure a life insurance company has much better lawyers to negotiate rates for an ambulance ride than a private citizen. The insurance companies are in business to make money too. They don't just write $50,000 checks willy-nilly to any ambulance company. Instead, they raise everyone else's life insurance rates at best. In the event someone does pull through, I assume a lawyer to negotiate a settlement of less than $50,000 is cheaper than any bill the ambulance company sends. While most people live paycheck to paycheck and don’t have thousands of dollars saved for such an emergency, their GoFundMe campaigns probably are not paying the full amount billed. What the ambulance service really wants is a very wealthy person (or estate in death) to use their service with no outside insurance who can write a big, fat check to cover other patients when the ambulance company didn't get the full amount. Those people probably don't exist, because most wealthy people are over insured as opposed to under insured. Finally, as a frequent medical user who MUST be on Obamacare, socialized medicine is horrific. I already pay about one-third of my income just for health insurance every year. In many states, people already pay half or more of their income in federal, state, and local taxes. How much more do Americans want to pay in taxes for that free ambulance ride? With the baby boomer generation well into retirement, entitlement programs like Medicare and Medicaid becoming insolvent, and declining birth rates around the world; this problem is not going to be fixed by throwing more tax money at it. Until elected officials at the state and federal levels start working together instead of calling each other names like children, we are all out of luck no matter what side of this issue you hold. The private equity firms are just taking advantage of government's ineptness and weaknesses.
Stefano Pessina
Stefano Pessina 2 өдрийн өмнө
Well this was depressing
Dardenelle Green
Dardenelle Green 3 өдрийн өмнө
The entire American healthcare system is a pyramid scheme. A giant parasitical apparatus set up by fat cat billionaires set up to milk every last dime out of sick and dying people.
Jiwoo Park
Jiwoo Park 4 өдрийн өмнө
"You can't pay the bill?" " *no* " "Then I'm gonna take back your new thing" just a joke
alli herr
alli herr 4 өдрийн өмнө
This is EXTREMELY dependant on the injury. As an EMT watching this, I have a lot to say about the faster being better and reasons why patients are taken to level 1 centers more. For example, if we know the patient is having a heart attack or complicated cardiology issue, we are going to send them to a place with a cath lab. These are usually only found in level 1 trauma centers. We wouldnt take them to a lesser hospital without the resources to treat them. Also, ambulances are usually private companies, just like everything else. My company provides flight services. People shop around and compare prices all the time. And yes, since medicare happened insurances don't cover flights anymore. Medics make the call to flight someone usually, and we don't fly unless we need to. Also, non profit vs profit isn't a fair comparison. One recives donations to cover funds, the other has to make profit. The 4 out of 100 thing makes no sense. Are you kidding me? Are you advocating for people to just die and that would be better? There are a few truths in here but they are very hidden with nuanced topics and rough conclusions based on strange stats.
Mr. Leininger
Mr. Leininger 5 өдрийн өмнө
You intentionally confuse economic harm with medical harm when you state that doctors violate their oath when they use an air ambulance, because only 4 of 100 are saved. Even if this rate were insignificant, the cost of care is obviously not in the scope of the oath. You also go populist and slam private equity funds for their market power, as if it is unconscionable to use it in a health care market. I do feel that the fact that the consumer is in a fight for their life makes it a bit unsavory, however. Think from the fund's perspective; it is just another good business that offers attractive ROI for their investors. And these investors are diverse: individuals, pension funds, endowments. And they're all cheering the management who had the foresight to invest in the right companies.
Mr. Leininger
Mr. Leininger 5 өдрийн өмнө
You clearly don't know what a market failure is, yet you state with such confidence that it is synonymous with a deviation from a competitive market, which is untrue. A market failure occurs when demand and supply agents do not execute exchanges. A market where any price is incurred is not a failure since exchanges are occurring. Clearly, it's a strange market since a doctor is a proxy demand agent, but it's not a failed one. I suppose you have consumer sensibilities that are biased towards the efficient markets hypothesis, since you inexplicably state that the price is 'too high'. However, prices are only experimental outputs of the market. Would you complain if a chemical reaction produced a molecule you didn't like? As long as exchanges are occurring, then prices have been 'discovered', and no market failure exists. It makes no difference if a doctor is responsible for the demand.
Freedom HQ
Freedom HQ 7 өдрийн өмнө
Why not just make the hospitals pay out of pocket for helicopter fairs ? If patients or insurance companies are billed without their knowledge or informed approval they have a right to sue. Insurance company’s should be able negotiate the price of the actual bill of the ride in addition to medicare from there. And maybe, through a small court of appeals, the insurance company can argue the price of a fair ? The argument must allow for there to be a justified amount for the air fair that caps off at a common market price plus evidence based adjustments for the actual investment made by the individual helicopter company. Through this court of appeals, an unbiased jury will decide if the fair makes sense or if it was in truth a predatory practice. In this way the government does not decide the air fair but instead, the wisdom of an informed common people do. If anything, if current prices are realistic and said price is to be billed by the hospital. Then Ultimately the Insurance company should take the hit and not the patient. They can raise their rates, but with proper limits on contractual agreements, a patient should eventually have every opportunity to leave that company and to move onto a better and more economical one. Thats just an idea and Im probably wrong. Yet, I believe there is still something we can do about the medical industry as a nation that does not turn the medical industry into a purely public sector like other countries. Capitalism for the win baby.
Daniel Takawi
Daniel Takawi 7 өдрийн өмнө
"These 702 words..." nice touch :)
Joe Orange
Joe Orange 7 өдрийн өмнө
It's fucking wild how much it cost, my girlfriend had an allergic reaction to the vaccine yesterday and the bill for the ER was $700 and they gave a 10% discount for paying the same day you are there, and now we wait for the X ray bill and the blood work bill, and maybe even the EpiPen that was given at the vaccine site to stop the anaphylactic shock It's fucked up how often there is a genuine question to risk your pocket book or risk your life, usually risking your life is the more common one
Jai Singh
Jai Singh 7 өдрийн өмнө
More videos exposing the medical industy please. It's run like a mafia in the US.
Caleb Di Biase
Caleb Di Biase 7 өдрийн өмнө
As an Aussie, I love free healthcare, but I do believe that paid healthcare is worth it, just not the overcharging, if healthcare is going to be a business then they should have competition to keep the price down. It is really sad that there are large companies that will still take advantage of the helpless who get no other choice if they want to live
Brandon B
Brandon B 7 өдрийн өмнө
It's not a "symptom of market failure". It is, like so many things, a 'symptom of government failure' . Oh Murica; Serving as the Vanguard for Western Society's March into the gaping maw of Capitalism, since 1917! 🥇
peppe2994
peppe2994 9 өдрийн өмнө
Dear USA friends, here on the other side of the atlantic ocean, we always discuss about several things regarding USA, and your healtcare system is one of the main topic. We are all sincerely angry when hearing about tremendous inequity regarding health, life of people, and costs for cares. I wish you that something cound change. For whos don't know how healthcare system works in Europe: all it's completely free (unless something unnecessary), and all means all, medicines, surgery, air ambulances and even transfers beetween far hospitals hoperated by the air force.
iron 13
iron 13 9 өдрийн өмнө
Nationalize them by force.
TheseYeahThese
TheseYeahThese 10 өдрийн өмнө
Love your fucking videos
sasha mellon
sasha mellon 10 өдрийн өмнө
It’s time the USA nationalised its health service and funded it through tax. Imagine being a burns victim and not being able to get treatment as you don’t have insurance. Just monsterous!!
Brandon Marvel
Brandon Marvel 11 өдрийн өмнө
once again saying profit should not be an incentive to healthcare!!! it is such a glaring conflict of interest Jesus I hope at some point we fix the health system for real and our grandchildren will we are crazy if we tell them it was actually this bad.
Brandon Marvel
Brandon Marvel 11 өдрийн өмнө
why is it we close hospitals non profitable hospitals in rural areas but keep post office open... so in America getting daily mail service is more of a right than... living...
Edwin
Edwin 11 өдрийн өмнө
I cant wait for your video on masks, cause sooo much of this could apply to masks...
ErierCandy
ErierCandy 12 өдрийн өмнө
They worked in Vietnam.
Lazlow Rave
Lazlow Rave 12 өдрийн өмнө
This is pretty sad. Kinda looked up to the pilots of air ambulances as rock stars. Kinda shattering that visual.
Jamzan
Jamzan 13 өдрийн өмнө
11:10 oh yeah I forgot we were talking about america
Luis von Randow
Luis von Randow 14 өдрийн өмнө
it's almost as if healthcare shouldn't be a market.
HorrisNorris
HorrisNorris 15 өдрийн өмнө
So glad I don't live in the USA
Jesse Graas
Jesse Graas 15 өдрийн өмнө
I'm still over $30,000 in debt for my sky pirate bill. The car accident was not my fault in any way.
Porto Alex
Porto Alex 16 өдрийн өмнө
So I must be pretty lucky, thankful and have no complaints as in my country in cass you need a helicopter to transfer you on a better equipped hospital is free. The same applies to search & rescue missions like finding a lost person on a mountain or a stupid surfer who decides to get on the sea even there's a prohibition of such activities by the authorities due to extreme weather conditions...
givingus5
givingus5 18 өдрийн өмнө
Just too clarify as an EMT the golden hour does make a difference for stoke patients. Those studies did not cover that. As long as they can be taken to a high level stroke center. This assumes the person had a major stroke. The comment below by Abel F. sums it up very well. I agree with the rest of you on the cost and not to encourage the bad behavior as many you mentioned already. Stroke centers.... getaheadofstroke.org/stroke-center-designations/#:~:text=Similar%20to%20how%20patients%20are,complete%20stroke%20system%20of%20care.
Eve Adams
Eve Adams 19 өдрийн өмнө
American here, drowning in debt for several ambulance rides I took over a decade ago, one of which was across a parking lot to another wing of the hospital. $950 for that one. And I was perfectly ambulatory. I will never be able to repay them all. I think I'm gonna have my DNR tattooed on my back like in Mad Max: FR.
OhWhale
OhWhale 20 өдрийн өмнө
I wonder if this happens in Canada? 🤔
K R
K R 25 өдрийн өмнө
Disgusting American health care system.
Eastmarch2
Eastmarch2 26 өдрийн өмнө
14:40 what flag is that? It has far too few stars to be an American flag.
Berkan
Berkan 26 өдрийн өмнө
Why do American Ambulances look so cheap, old and Janky.
Raymond LG
Raymond LG 26 өдрийн өмнө
I alway enjoy how the heavy Patriotic Muricas defend the failed healthcare system US has. Because in true pragmatics terms there is really no way, shape, form, argument etc to state otherwise in favor of such horrific cash cow system. The answers I usually and always get is the look at third world countries ones! Yeah that's true! But them countries don't have the GPD budged that US does.
JumpHit
JumpHit 28 өдрийн өмнө
Yeah, come have a look at england's air ambulance. American air ambulances are trash.
Trey DeJesus
Trey DeJesus 28 өдрийн өмнө
Just shows the problem isn’t capitalism it’s a lack of capitalism. This industry has no competition, that means it’s not capitalism. In this case yes, setting price ceilings would be a good thing, and it’s crazy this hasn’t been fixed. Government intervention is usually bad, but in this case bad is better than worse. A failed market that exploits people with no competition should always be stopped.
CautiousDavid
CautiousDavid 29 өдрийн өмнө
This video hits hard :(
Xander Anderson
Xander Anderson Сарын өмнө
The UK (and others) air ambulance system is better for a number of reasons. 1 being they are charities that work with the NHS so are free and are paid for the same as any charity: through donations. Another is the UK is MUCH smaller than the US so you can get to a major trauma center quicker.
Maciej Dolny
Maciej Dolny Сарын өмнө
Hi Wendover, if you are making video specifically about USA problem, just put the "in USA" in the title. It's only 5 letters. You makes people confused. Greetings from Poland.
Nootushya Quaternion434Jabberwocky
Nootushya Quaternion434Jabberwocky Сарын өмнө
After seeing this, I'm so glad that air ambulance is operated by charities in my area.
Poggers guy
Poggers guy Сарын өмнө
Upload on your other channel more
Pro Vax
Pro Vax Сарын өмнө
A few commentators still defend the US system as it provides choice. Outside USA, including U.K., private medical is still available but most people, comparing the two, opt for the public system.
Ram Rachum
Ram Rachum Сарын өмнө
Your videos have great content, but the way you speak makes it very difficult for me to listen. I don't know why so many people who make educational videos have to speak with an intonation like an alien robot. Do you feel it would be less interesting if you just spoke normally, the way you speak to a friend?
Tianrang Bu
Tianrang Bu Сарын өмнө
The recipe for every Wendover video: half interesting and half blatant US-centrism
Maria Dąbrowska
Maria Dąbrowska Сарын өмнө
Wow. That was powerful. I really am glad that I am not an American.
David Tran
David Tran Сарын өмнө
Sure would be nice to be able to carry a card around indicating my choice to ever use an air ambulance if unconscious. I would say no every time. I'd rather die than pay $50,000 to some person who is already rich. Sure, call me dumb, but know that my sacrifice means potentially lower, more competitive fees for you if you ever use an air ambulance down the road.
3ICE
3ICE Сарын өмнө
On top of that, an annual CuriosityStream subscription is 26% off right now, meaning a year of two great streaming sites combined is about the same cost of one fancy burger.
Kai Hyena
Kai Hyena Сарын өмнө
Wendover slowly becoming a breadtuber lol
Chad Johnson
Chad Johnson Сарын өмнө
While I tend to agree with most statements in this video, there's a larger issue at hand. If taxpayers are to foot the bill for these services, then that would mean somebody making $10k a year can go cliff diving in rural Utah, take their Instagram/TikTok photos/clips, break a few of their limbs, get a $15k chopper ride to the hospital with another $10k surgery, and walk out the front doors, and do it all over again. Meanwhile, I'm just playing COD on my computer, making $xxx,000 per year, putting myself at significantly less risk than the Instagram-hype junky, and I have to continuously pay for his/her dangerous & negligent life-style. Same with smokers, or obese people, or drug-addicts, and so on... There does need to be profit-ceilings on certain parts of the medical industry, but socializing medicine, especially in the U.S. where people treat their bodies like rental cars, is just not a sustainable way to fix these issues.
john pardon
john pardon Сарын өмнө
basically. america hates poor people.
Airbus A320-214
Airbus A320-214 Сарын өмнө
Well, the study shown in 6:23 does consider the "higher numbers of preclinical measures [in Germany]" to be far more relevant than a fixed amount of time. However, one has to consider that emergency physicians in Germany often arrive by special cars only transporting them or helicopters. In both cases a timely advantage is given.
「CELLO KID」
「CELLO KID」 Сарын өмнө
I didn't know what a traumatic injury was, googled it and now I probably won't be able to sleep for the next week
Dillon
Dillon Сарын өмнө
id say pass an ammendment to the deregulation act excluding any air vehicle that is used for medical transport. lol granted that wont happen the goverment is soooooo corrupt in lining their pockets it will take somthing massively bad to THEM to actually change anything in a reasonable ammount of time granted what bad that is could just be their family members getting this fee or this or that and slowly changing their opinions on it because yea.. im blessed my local area uses a hospital purchases helicopter. and that due to my income i lie on i get goverment coverage for my health... because that should be a basic human right and i should not have to lie on my income to get that :/ yes i pay taxes but not what i should because of the simple fact if i did i would also pay atleast 600$ a month in coverage insurance.
Mike Kelly
Mike Kelly Сарын өмнө
Thank goodness I live in the UK with a National Health Service that is by no means perfect but a lot better than the American system!!!!!!!
Joseph Chu
Joseph Chu Сарын өмнө
basically every time he says right???? : ME: NO no no no no no
Adouble
Adouble Сарын өмнө
I'm from the U.S. and I didn't even know that this B.S was going on...
Thu Truong
Thu Truong Сарын өмнө
The interesting shade reciprocally wave because tugboat wessely cover beneath a combative unshielded. painful, toothsome picture
IIsatomi3ii
IIsatomi3ii Сарын өмнө
Im sick of living in the US with the chance 3-5 years of my 12k yearly income can go out the window because of a drunk driver. Or a freak accident.
Jon Nupe
Jon Nupe Сарын өмнө
Ok, so all we have to do is destroy all helicopter ambulances in a regular basis
starbomber
starbomber Сарын өмнө
Your videos make me sad
Just This Guy
Just This Guy Сарын өмнө
In short, air ambulances work, the problem is how much they cost.
Warlord M
Warlord M Сарын өмнө
I'm sorry but this is really irresponsible. You've been getting more extreme the bigger you've gotten, but this crosses a line. Saying that a doctor is violating their Hippocratic Oath by making a medical decision that costs their patient money is totally incorrect and unreasonable. I understand you are mad that the financial systems around healthcare in the United States are a travesty, but taking it out on doctors is not only totally wrong for anyone to do, but for someone in your position, with the power to inform and to influence the opinion of millions of members of the public, it is unethical. This video is bad, and you should take it down, fix it, and put it back up so that people can learn about the important issues you raise without coming to believe your poorly reasoned opinions and lies disguised as opinions are facts.
Warlord M
Warlord M Сарын өмнө
@Imrunningforpope they aren't violating their oath. Financial costs aren't medical harm. And even if he didn't mean for it to sound that way, it does, and that's just as bad
Imrunningforpope
Imrunningforpope Сарын өмнө
How can you watch this video and believe he is criticizing doctors? He is saying they are FORCED to violate their Hippocratic Oath.
James Dinius
James Dinius Сарын өмнө
So basically a very useful and important to the consumer act was passed and a bunch of vultures exploited it. This is why laws need to be written very carefully. I support free markets in 99% of cases, but this is a clear market and regulatory failure and these monsters need to be stopped.
James Dinius
James Dinius Сарын өмнө
To everyone saying this is an example of the failure of the US medical system you are missing a key point. This is a failure of the AVIATION INDUSTRY not the medical industry. It's an aviation regulation that causes this. Dosn't mean there shouldn't be legal changes, but there is literally nothing the medical industry can do beyond lobbying for that change.
KopaZ
KopaZ Сарын өмнө
5:15 What if I shoot the author of this paper 2 times to the back twice, but - 1) I leave him to bleed out for about 50 minutes, then taxi him to hospital using helicopter which say, takes about 20 minute to get to operating table. 2) I toss him to helicopter ASAP and put him on surgery which takes 20 minutes. I wonder what scenario would be better for this person?
Dopp
Dopp Сарын өмнө
The problem is not really the market, it's that they can charge you for something they've done without consent, it should really be a public service so this isn't a problem ffs
fat pig 789
fat pig 789 Сарын өмнө
Air ambulances dont work in America. Alot of things do not work in America like their railway and their measuring system
Joseph Park
Joseph Park Сарын өмнө
Imagine being in a helicopter accident only to be immediately carried by another helicopter.
Shane Powell
Shane Powell Сарын өмнө
the three studies you cited, one you did not cite the remainder of the quote " The time factor involved in managing and transporting hypotensive penetrating injury victims directly to a regional trauma center does not appear to be related to an adverse outcome, at least during the first hour after injury. second did not refute the golden hour it just moved the goalpost. third did not even mention the golden hour, it just mentioned an 8 minute window. couldn't you have chosen better examples of your claim?
RJ L
RJ L Сарын өмнө
the hospitals in nyc r so profitable, they store morphine in fifty-gallon drums
derrickfencer
derrickfencer Сарын өмнө
America is just the shittiest country lo live in the all world.
Trevor Doyle
Trevor Doyle Сарын өмнө
Basically as an American let me sum up this video. Lawyers and frivolous lawsuits make doctors at lower level hospitals terrified of being sued for messing up so they send patients off to a higher level hospitals even though they could've taken care of it easily. Evil private equity assholes decide they want to make an amazing profit off of somebody's misfortune and so they take advantage of that and bill out the ass for their "services". Then a dedicated lobbying arm funnels money to Senators and Congressman to make sure that the cash cow keeps producing completely unregulated. Almost all of America's problems could be solved by murdering lobbyists, private equity douchebags, and most lawyers.
Teddy Courtney
Teddy Courtney Сарын өмнө
And all these extra profits certainly aren't going to the pilots or paramedics doing the actual life saving work.
Molly
Molly Сарын өмнө
It's beyond disgusting that rich private investors are just allowed to profit off of innocent random people getting gravely injured. In the U.K. rail lines literally run empty trains to/from rural areas just because they're too lazy to file the paperwork to close the lines
Führer des Benutzers
Führer des Benutzers Сарын өмнө
Here in Brazil public healthcare is and always has been in a sad, awful state, most of its funding goes to corruption. But you'd be hard-pressed to find a *single* Brazilian that isn't glad it exists.
Archoncommando
Archoncommando Сарын өмнө
In Germany the massive majority of air ambulance missions consist of getting an emergency doctor to the scene not transporting patients. We use a rendevous system that has the actual doctors riding in separate vehicles and helicopters. Allows for more ambulances to cover minor injuries and first aid while not needing an equal amount of fully trained doctors.
Lydia Weaver
Lydia Weaver Сарын өмнө
15:59 Contradiction, you said up to $40000 but at the said timestamp, it was 50000 dollars.
Aziz
Aziz Сарын өмнө
A friend’s bill after transferred to the US from Saudi Arabia to get treated for a year with all expenses included is $ 0.0 We call it “Therapeutic trips” and the government takes care of housing, flights, medical expenses and gives a monthly salary for those patients in addition. Any Saudi citizen can get the same, if they choose not to be treated in Saudi Arabia for some reason, or if their doctor recommends it. Also, no insurance is required since the government already pays for one.
Josh
Josh Сарын өмнө
There's no mention of how much of this debt is actually paid out. When you go to the hospital without insurance, you'll get a crazy bill, but that's due to price manipulation from overuse of insurance; no one actually pays the full amount. If the without the price incentives, we'd have fewer helicopters in service, then I prefer saving lives first and figuring out finances later.
Ahmad Al Araby
Ahmad Al Araby Сарын өмнө
I'm amazed at how much people here discuss this as a failure of decentralised healthcare. This is an economic question, before anything. It's a market failure, indeed, where the mechanisms of free-markets have failed to drop prices. But before we judge too quickly, we must consider: i. Airlines deregulation made the American Market unbelievably healthy and alive, unlike that of Europe or anywhere else on the planet. ii. Why the assumption that air-ambulances fall under the umbrella of airlines???? Last time I checked, the two agents (players) had to be conscious for any transaction to take place (u cannot force someone into an aeroplane, they have to consent to it.) In the sense of point ii, we cannot consider air-ambulances to be a subclass of airlines at the first place (e.g. ambulances don't fall under the umbrella of taxicab regulations & hospitals are not hotels.) So, a possible addressing to the problem would be: "Why are air-ambulances considered by federal law to be airlines if the agents in consideration are not the same?" A possible solution would be to explicitly exclude it from the Act, but not to mandate a nationwide universal healthcare system. It is imperative that individuals have the right to manifest their own destiny and die of cancer if they wish to. A better proposal would be an optional nationally-organised system that give the public the ability to choose, and also compete with the unregulated market of pharmaceuticals. Cheers.
krr
krr Сарын өмнө
Look up SMURD on wikipedia. That's how it's done.
J Rotela
J Rotela Сарын өмнө
USA: So yeah, life is priceless and all of that, but we also like Aircraft Carriers and you know. Nothing is free
Sean Mcneill
Sean Mcneill Сарын өмнө
In the uk its a mix of chairty nhs navy and raf coastguard that provides the service
Nerte
Nerte Сарын өмнө
Welcome to another episode of "Reason #2268 why USA is the 3rd world country".
Phixiq
Phixiq Сарын өмнө
After my cousin became a EMT and two 911 calls for an ambulance for my sister, the entire things is fucked
Chaim F
Chaim F Сарын өмнө
No, libertarians would not agree.
CinqL80
CinqL80 Сарын өмнө
USA Healthcare is just barbaric man. This is just a perfect example of it.
Ryan
Ryan Сарын өмнө
Amazing well done and researched
Ray
Ray Сарын өмнө
The British Air Ambulances work very well 9:35 Is my Air Ambulance
Joel Grey
Joel Grey Сарын өмнө
I’m not disputing the mortality rates. I haven’t done the research, but I will say I have family in eastern Washington. Their hospital is pretty good, but when they’ve had severe problems (unfortunately common) they needed to go to Seattle. In several cases it would have been at a minimum excruciating for them to take an ambulance that distance. I think it provides a valuable function even if overused.
rubes
rubes Сарын өмнө
The US is fucked when it comes to health. In Australia for $130ish per year you get unlimited full ambulance cover. 👁👄👁
Zach Matthews
Zach Matthews Сарын өмнө
Ayyyooo shout out to St.Marys in grand junction. Nice to see my home get a shout out. Still a shitty city tho.
Matthew Smith
Matthew Smith Сарын өмнө
An important note about why airline prices went down after the 1978 act: prior to this, there was actually a price floor for airline tickets. Airlines had to charge customers a minimum, because it was worried that a completely free market would lead to a spiral to the bottom. Airlines would be forced to cut costs as much as possible, especially when it comes to safety, either that or go out of business against less scrupulous airlines. It wasn't that the deregulation itself caused a drop in prices, it was that one of those regulations physically stated that "tickets cannot cost less than this." Airlines are still heavily regulated by the FAA, which is why they are still so safe. So safe in fact, that an engine failure that did not hurt or kill anyone, and did not result in a crash, made international news.
Dana Diederich
Dana Diederich Сарын өмнө
"There is nothing stopping this industry from charging higher and higher rates." Not quite true: visibility/awareness might help. Thank you, Wendover, for raising awareness of this important problem.
Joshua Brown
Joshua Brown Сарын өмнө
as a British citizen. this is just disgusting. as an investor... jk.
Shian
Shian Сарын өмнө
Yet another story about how fucked the USA is...
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