I think the answer is very simple. Regulation. If there was no regulation or very little then anyone could open up an ambulance service and the cheapest costs and the best service would win.

Unfortunately that’s not the case. It’s like day care. Day care is expensive because the government mandates it to be expensive. Otherwise you’d have grandmas down your street would gladly watch your kid but it’s generally not allowed for more than a couple kids.

Same thing with houses. I have half an acre. Could easily put 2 affordable tiny homes on it. Good income for me, cheap rent for someone else, but, unfortunately it’s legally blocked

The idea that everything gets better if we remove all regulation is one we know doesn't work. It's the model we've tested repeatedly, before each piece of regulation, and it always leads to negative outcomes.

So the argument is that any piece of regulation will always lead to a positive outcome?

How is that possible?

When you are bleeding out on the street, you don't have time to shop around for the best deal

Wont matter because nobody is going to be paying 12k for a ambulance ride if there are people doing it significantly cheaper.

I would absolutely not tolerate and unregulated ambulance responding to my emergency.

You don’t have to. You do what you want. I’d prefer to hire a company where the workers make more money. Right now they make a pittance.

Someone who's having a medical emergency is certainly in no position to go comparison shopping for ambulance services.

You would do it before hand of course

When you get your bill, you could just double that as a tip.