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Cities with Uber Have Lower Rates of Ambulance Usage

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Re: Cities with Uber Have Lower Rates of Ambulance Usage

#51

I injured myself and needed to go to the ER. The injury wasn't life threatening, but I definitely needed to go to the hospital immediately. I called an Uber. I don't have the time or expertise to do the months of legalese and calculus it would take me to understand my insurance policy, so I have no idea how much an ambulance ride would have cost me. $0? $400? $15000? None of those numbers would surprise me. As best I…

"taking a picture" is not the same thing as "an x-ray"

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#52

A relevant personal anecdote - I hit my head earlier this year and gave myself a concussion, but did not realize it at the time. The next day, I began experiencing severe headaches, sensitivity to noise, sensitivity to light, etc. and decided to go to a hospital. I called an Uber. I'm not sure what I would have done without Uber. I guess I could call a cab, but I don't know that I would have wanted my ride to the hos…

> my ride to the hospital to be 30 minutes late, to refuse to turn the music down, and to tell me the credit card reader is broken As much as I'd like to stick it to taxis because of their decades of price gouging due to being granted a monopoly, I have not had many bad experiences riding a taxi. If I had to put a number on it, I'd say that less than 5% of my taxi rides were in any way unpleasant other than for the c…

Taxis in cities with decent taxi systems, in a neighborhood with decent taxi coverage, hailed by waving your hand on the side of the road are fine, and getting better by way of competition. I have no qualms with taxis in, ie NYC or DC. Taxi dispatchers, though? Especially in smaller cities? I lost count of the number of times I had a cab no-show when I lived in Pittsburgh.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#53
Various insurance companies had contracts with the taxi company I drove for. Part of our usual fares were taking people to and from emergency rooms. If a person with Medicaid had a problem they'd call their insurance company, whose representative decided whether to send an ambulance or a taxi.

The hospitals also had contracts to send their patients home. One pre-obamacare passenger comes to mind: she didn't have a problem that wasn't related to being poor/homeless/childhood abuse, but the E.R. couldn't address her actual problems, and gave her a prescription for "something". She waved the prescription and said, "I can't afford these pills..." The hospital sent her to her sister's apartment. I called twice to check up. She was doing okay the first time. The second time the passenger's sister said she was at the State's psychiatric hospital.

A non-insurance passenger with a non-life-threatening injury asked to go to an emergency room. I suggested going to the full-service emergency room at the heart hospital. They got in & out in a fraction of the time that people usually spent at the big hospitals.

I knew of that emergency room because the Fire Department had a contract with the taxi company too. They sent people who didn't need an ambulance via taxi to the nearest emergency room. That guy was homeless, iirc.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#55

I injured myself and needed to go to the ER. The injury wasn't life threatening, but I definitely needed to go to the hospital immediately. I called an Uber. I don't have the time or expertise to do the months of legalese and calculus it would take me to understand my insurance policy, so I have no idea how much an ambulance ride would have cost me. $0? $400? $15000? None of those numbers would surprise me. As best I…

"taking a picture" is not the same thing as "an x-ray"

It's called dramatic effect.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#56

I injured myself and needed to go to the ER. The injury wasn't life threatening, but I definitely needed to go to the hospital immediately. I called an Uber. I don't have the time or expertise to do the months of legalese and calculus it would take me to understand my insurance policy, so I have no idea how much an ambulance ride would have cost me. $0? $400? $15000? None of those numbers would surprise me. As best I…

"taking a picture" is not the same thing as "an x-ray"

It is, but with wavelengths that aren't in the visible range.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#57

I injured myself and needed to go to the ER. The injury wasn't life threatening, but I definitely needed to go to the hospital immediately. I called an Uber. I don't have the time or expertise to do the months of legalese and calculus it would take me to understand my insurance policy, so I have no idea how much an ambulance ride would have cost me. $0? $400? $15000? None of those numbers would surprise me. As best I…

The system works fairly well if you are poor too. I know several people who have walked into and out of the hospital without paying a dime. It really seems like the middle class gets the raw end of the deal.

> It really seems like the middle class gets the raw end of the deal.

My hairdresser figured she has to spend $5,000 before she can get any benefit from "health insurance". She & her husband decided it'd be better to pay the penalties, spend that first $5000 on herself, and "hope" that she won't need more.

She's from Cuba, originally - left in 1987, iirc.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#58

I injured myself and needed to go to the ER. The injury wasn't life threatening, but I definitely needed to go to the hospital immediately. I called an Uber. I don't have the time or expertise to do the months of legalese and calculus it would take me to understand my insurance policy, so I have no idea how much an ambulance ride would have cost me. $0? $400? $15000? None of those numbers would surprise me. As best I…

"taking a picture" is not the same thing as "an x-ray"

It’s incredibly old tech and costs you maybe $5 in most countries.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#59

A relevant personal anecdote - I hit my head earlier this year and gave myself a concussion, but did not realize it at the time. The next day, I began experiencing severe headaches, sensitivity to noise, sensitivity to light, etc. and decided to go to a hospital. I called an Uber. I'm not sure what I would have done without Uber. I guess I could call a cab, but I don't know that I would have wanted my ride to the hos…

> my ride to the hospital to be 30 minutes late, to refuse to turn the music down, and to tell me the credit card reader is broken As much as I'd like to stick it to taxis because of their decades of price gouging due to being granted a monopoly, I have not had many bad experiences riding a taxi. If I had to put a number on it, I'd say that less than 5% of my taxi rides were in any way unpleasant other than for the c…

Taxis are good in NYC.

In Binghamton NY, they all tell you the credit card readers are broken at all times of day and insist on driving you to an ATM so they can get paid in cash. In Washington DC, if they think you're drunk, they overcharge you / don't start the meter and the dispatchers always tell you 15 minutes, but then the cabbies just grab other people and you end up needing to call the dispatcher repeatedly to actually get a cab and it usually takes closer to 45 minutes or an hour. And in Ithaca NY, they tell you the credit card reader doesn't work until you say you don't have any cash, and then it's suddenly working.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#60

I injured myself and needed to go to the ER. The injury wasn't life threatening, but I definitely needed to go to the hospital immediately. I called an Uber. I don't have the time or expertise to do the months of legalese and calculus it would take me to understand my insurance policy, so I have no idea how much an ambulance ride would have cost me. $0? $400? $15000? None of those numbers would surprise me. As best I…

"taking a picture" is not the same thing as "an x-ray"

The point is sound though - x-ray is a very good example of a procedure that is absurdly expensive compared to its actual cost - and compared to any other country on earth.
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