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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

#91
post #70

How is Uber any different than taking a taxi to the hospital?

Also, I could imagine a series of accidents where explaining to a Taxi where you were and where you needed to be might be physically difficult.

You can call an uber (or lyft) for your destination, with a few finger taps.

(*And the driver will know who they are looking for visually, as well.)

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#92

Earlier quoted context omitted.

How does your solution solve the problem?

It adds one crucial feature every healthy, functioning market needs: honest feedback. Right now nobody , and I mean literally nobody, makes rational economic decisions for medicine in the US. Neither the hospital, doctor, administrator, insurance company, or patient really has any real idea 1) the cost of the health care being provided 2) the amounts being charged or 3) the dollar amount of benefit gained by the pati…

The root cause tho is that the consumer of the product (patient) is generally different from the payer (employer). Insurance isn’t the real problem. The invaluable argument could be applied to your house too.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#93
post #69

Earlier quoted context omitted.

Crazy. Very recently I saw a guy get knocked out cold on his rollerblades and we called an ambulance. The question of cost never crossed my mind and I'm not sure I would ever want to make the utilitarian calculus: Am I helping this man or am I bankrupting him? IIRC it's $82 or something like that in Vancouver BC Canada.

Could he just said "I didn't call for ambulance, charge the guy who did"?

I don't know about Canada but in Australia the person who the ambulance is called for gets charged.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#94

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…

Crazy. Very recently I saw a guy get knocked out cold on his rollerblades and we called an ambulance. The question of cost never crossed my mind and I'm not sure I would ever want to make the utilitarian calculus: Am I helping this man or am I bankrupting him? IIRC it's $82 or something like that in Vancouver BC Canada.

Wow! It is almost $400 here in Alberta [1]. But we don't have MSP premiums, so I guess it is not much different from BC when you consider all the factors.

[1] http://www.health.alberta.ca/services/EHS-who-pays.html

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#95
post #67
post #41

Coming from a country where ambulance usage is free for citizens, it would be interesting to see the stats in Uber cities. The only reason not to call an ambulance here is if you feel it would be unethical (e.g. if you broke your arm and your partner could drive you). EDIT: That is, I imagine you might be able to see whether Uber provides a better alternative than the local cabs. This still holds in US cities though,…

In most places in the US, the local cab companies are terrible. They might answer the phone, they might show up, and they might try to scam you. Imagine you call a taxicab for a medical emergency, and they never show up, or only after an hour. Uber and Lyft are extremely popular because the apps always tell you if a driver will come, the drivers almost always arrive very quickly, and the price is set in advance. I'd…

Not to mention that there are consequences if an Uber/Lyft driver blows off a confirmed ride, and even if they do, you can request another one immediately.

In the case of taxi dispatch, a car may never show up, and you won't know until you get tired of waiting, and there are no consequences for the taxi company or driver if they do this. Pre-Uber, in SF, the normal quoted wait from a taxi dispatcher was on the order of 20 minutes, which if anything was usually understated. If you're in a lot of pain you probably don't want to wait that long.

I would probably still call an ambulance for something I thought might be life-threatening, but for anything else I'd take a Lyft.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#96

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…

Similar story; dislocated my shoulder, and needed to visit the ER. Came to the same conclusion at the time, that Uber would be the cheaper/easier option. The driver got me safely to the ER, likely faster than an ambulance would have. The driver was even courteous enough to help me with the door. I don't remember the exact price, but it was reasonable, I'm sure it probably saved me hundreds relative to an ambulance ride.

It was probably the more socially responsible option all things considered. I didn't require urgent medical care, so taking Uber helped ensure those resources where free to those whom might have (though this thought didn't cross my mind at the time).

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#97
post #69

Earlier quoted context omitted.

Crazy. Very recently I saw a guy get knocked out cold on his rollerblades and we called an ambulance. The question of cost never crossed my mind and I'm not sure I would ever want to make the utilitarian calculus: Am I helping this man or am I bankrupting him? IIRC it's $82 or something like that in Vancouver BC Canada.

Could he just said "I didn't call for ambulance, charge the guy who did"?

The unintended consequence of allowing that to happen would be that people would be hesitant to call for an ambulance for someone else. It will cost lives. I would expect any sane legal system to have strong legal protections for good Samaritans.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#98

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.

Well, not if you need treatment. If you're poor, yes you won't pay anything because the hospital won't bother to bill anyone. But if you need surgery and have no insurance or medicade, there are cases of doctors sending you home, waiting for sepsis and then amputating, because it's cheaper and takes less resources.

Extremely poor people may not pay for care, but be assured that in America, they get no where near the same level of care.

And if you're poor and have cancer? Most other western countries will give you a chance.

There is a much deeper problem relating directly to this topic. Transportation. Access to real transpiration is THE BIGGEST FACTOR in escaping poverty.

Uber isn't public transportation. A train is about $2 ~ $3 in most cities. In an Uber that would be a $10 ~ $20 ride. Multiply that by 7 days a week to and from work, and there simply is no comparison. Many cities have discounted fare cards for the poor as well. The structure of American cities hurts the poor.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#99
post #69

Earlier quoted context omitted.

Could he just said "I didn't call for ambulance, charge the guy who did"?

I don't know about Canada but in Australia the person who the ambulance is called for gets charged.

How much is an ambulance in Australia? Last time I was there, I saw a protest against the Abbot government (yea it was that long ago) because he wanted to put in a co-pay (yes, Australians don't have co-pays).

In the US, with insurance, they're typically like $300.

Re: Cities with Uber Have Lower Rates of Ambulance Usage

#100
post #41

Coming from a country where ambulance usage is free for citizens, it would be interesting to see the stats in Uber cities. The only reason not to call an ambulance here is if you feel it would be unethical (e.g. if you broke your arm and your partner could drive you). EDIT: That is, I imagine you might be able to see whether Uber provides a better alternative than the local cabs. This still holds in US cities though,…

I also come from a country where ambulance usage is free but I can tell you from experience that getting one of these ambulances isn't as simple as one might think.

I imagine, maybe, there are keywords or phrases that result in instant dispatch but the default behaviour seems to be to frustrate you as much as possible to the point where you just hang up and drive yourself to the nearest hospital accident and emergency department.

This is, I suppose, a result of the service being costed and allocated to different departments who are all under pressure to manage their own budgets?

Accident and emergency departments obviously get the brunt of all this because they don't have anyone to pass the buck to.

So, yeah, maybe utilising a service such as Uber is actually going to be a way around this problem?

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