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Cities With Uber Have Lower Rates Of Ambulance Usage (npr.org)

An anonymous reader shares a report: Many potential emergency room patients are too sick to drive themselves to a hospital. But an ambulance can cost hundreds or thousands of dollars without insurance. This where a popular ride-sharing app can step in, while also freeing up the ambulances for those who need them most. With demand for ambulances decreased by available Uber drivers, emergency personnel have been able reach critical patients faster while also applying necessary treatment on the way to the hospital, according to a new economic study from the University of Kansas: "Given that even a reduction of a few minutes can drastically improve survival rates for serious conditions, this could be associated with a substantial welfare improvement." The study investigated ambulance rates in 766 U.S. cities from 43 different states. Taking into account the timelines of when Uber entered each city, the researchers found that the app reduced per capita ambulance usage rates by around 7 percent.

15 of 165 comments (clear)

  1. Free advertising for Uber! They must be rejoycing. by bogaboga · · Score: 2

    Uber must be rejoicing over this "free advertising."

    You see, when it comes to "ride sharing" all media talk about is "Uber," "Uber" and more "Uber."

    It's as if the other more than 10 ride sharing companies/services just do not exist!

  2. Re:Interesting. by jellomizer · · Score: 3, Insightful

    A lot of Emergency Visits that someone would ask for Uber would be a problem that isn't life or death, but can't be put off for the next day, and such conditions may make it unsafe for someone to drive themselves.
    Extreme Pain, If they are on Meds that makes it unsafe for them to drive, or physically unable to drive. The ambulance is often overkill transpiration for a lot of cases. And with people taking uber to get to the hospital, can make sure the ambulances that are on standby can be closer by to handle a real emergency.

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  3. Wow! by nospam007 · · Score: 4, Insightful

    "But an ambulance can cost hundreds or thousands of dollars without insurance. "

    I'm European and I can't believe my eyes.
    First, here _everybody_ is insured, even the bums living under a bridge.
    Second, an ambulance ride costs around 150$ if some uninsured foreigner ordered one.

    I guess you're doing it wrong.

    1. Re:Wow! by squiggleslash · · Score: 3, Interesting

      Some time ago we made it legal for people to not pay.

      Nope. Never happened. Been GOP mantra for a while, "Oh, healthcare is already free! Everyone has the right to go to the ER and not pay!" they claim.

      And it's not true.

      If you go to the ER, you have the right to be treated regardless of whether you can pay the bill. That's it. That's not the same thing. All it means is that the hospital can't insist you have insurance, or run a credit check on you, before treatment.

      If you don't have the money on you, they have the right to send you a bill. And you absolutely will owe the money on that bill. If you try to avoid paying, you will spend the rest of your life being hounded by debt collectors, you'll be subject to liens and wage garnishments. Your credit rating will be ruined.

      Are hospitals having problems because of that policy? Why, yes! It costs money to go after people who can't pay, and obviously there are classes of people who'll never be able to pay, from the occasional illegal immigrant or other underclass member to, well, to name the obvious class of people who turn up at an ER and then can't pay, dead people.

      The fix for that, BTW, is universal healthcare. Real universal healthcare. Make sure everyone who turns up at the ER has paid, through taxes or premiums, for the full costs of treatment ahead of time.

      But here's a question: in the current world, what's the alternative?

      If you turn up at the ER, and don't have documentation with you that can be linked to either a bank account or a valid insurance policy, should you be kicked out of the hospital? Should they leave you to die? Should they delay administering any treatment until you're able to identify yourself and your intended form of payment?

      Because for all your huffing and puffing about deadbeats and "sheer stupidity", that's what this boils down to. Love the status quo as much as you like, but what you're proposing is death by bureaucrat.

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    2. Re:Wow! by HornWumpus · · Score: 2

      In Germany, everybody is required to carry health insurance. Most insurance companies are run by states, but private ones exist.

      It is a much better system than England's.

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    3. Re:Wow! by Solandri · · Score: 4, Insightful

      There's a company running commercials here called DealDash which advertises HDTVs for $10, laptops and tablets for $20. I was curious how they got prices that low so I investigated. It functions as an auction, kinda like eBay. Except you pay a transaction cost for every bid you make - roughly 75 cents per bid. So if a $300 TV comes up for auction and sells for $10 after 10 bid cycles, the winner will have paid $10 + 10*$0.75 = $17.50 for it. Sounds great, right?

      But if you look at the total cost to society, if 50 people made a grand total of 10 bids each on it trying to win that TV, the total cost to all of them to purchase that TV is actually $10 + 50*10*$0.75 = $385. And the company makes a tidy $85 profit even though the winner only paid $17.50 for a $300 TV.

      That's what you have to remember when you socialize costs. The price the individual user pays is only a fraction of the actual cost. The rest is distributed over society, paid for with your taxes. So the cost of your ambulance ride is actually $150 + whatever general tax revenue is needed to fund the system. (The price the uninsured foreigner pays is probably the marginal cost - most of the fixed costs like purchasing the ambulance has already been paid for by your citizens, and the foreigner is only paying for a few minutes of the EMT's time and equipment depreciation, and the gas.)

      This is why the cost to operate an ICE vehicle isn't just the gas you buy put into it. It's the cost of the gas + the cost of the pollution caused by the emissions. Likewise, it's why EVs aren't zero emissions. All they do is displace the emissions to the power plant which generates the electricity they use. Which means if your electricity is mostly generated by coal, the overall EV efficiency (after factoring in generation, transmission, and charging losses) is about the same as for a gasoline vehicle.

      You have to look at the total cost of something to all of society, not just to the individual user or in an individual instance. You can criticize the U.S. for having 2x the health care costs of the OECD average. But criticizing it on the basis of a single ambulance ride cost to the end-user is naive.

  4. Ambulances are expensive by alkurta · · Score: 2

    An ambulance ride can cost $1000 even if you have insurance.

  5. Re:Interesting. by geoskd · · Score: 2

    An obvious question is "why Uber". Compared to the cost of an ambulance, a Taxi is still dirt cheap.

    Because most places you can expect a good hour wait for a taxi. Taxi service has always been piss-poor, much of that being due to the medallion system. It is one of the few real examples of bad regulation. As much as Uber consists of a bunch of criminals and scumbags (The executives, not the drivers), the industry they are disrupting is far worse.

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  6. Re:Not "Uber" by iamgnat · · Score: 2

    Presented with a transportation option previously depressed by the city overlords

    So these cities refused to allow taxis to operate prior to Uber? I doubt it. Even though they may be more expensive than Uber, they would still be far cheaper than an ambulance ride. So is Uber truly the savior of humanity this study wants us to believe, or are there maybe other factors that they missed/ignored in their effort to show Uber in a good light?

  7. Re:Third World? by jellomizer · · Score: 2

    In a country where not all Emergency visits are life threatening, but the patient cannot drive. We don't need a Semi truck to move a single chair. We don't need an ambulance to move every person who needs to go to the ED.

    It is about efficiency. And saving resources for those who need it.

    --
    If something is so important that you feel the need to post it on the internet... It probably isn't that important.
  8. Re:Interesting. by PsychoSlashDot · · Score: 5, Insightful

    We have Socialized medicine in the United States, We buy insurance. where we pay for everyone on that companies healthcare.

    You don't, really.

    See, with socialized health care, there isn't a company involved. There's a government-run health organization which exists to serve people, not to make a profit. How you pay for it isn't key. How the services are delivered is.

    I know there's a hypothetical where it's asked, "well, what if I want to pay more for service which is even better" and it's not a horrible question, but it presupposes that the baseline health-care is sub-par, which is - in most cases - not the case. Yes, here in Canada we've had periods where emergency-room wait times have been excessive, but with triage, true emergencies are handled immediately while "I've got a cough" is back-burnered. As it should be. And yes, there are occasions where some specific procedures are back-logged, and patients are even sometimes shuttled to our nearby American neighbors because they needed to be. But by and large, the vast, vast, majority of us are cared-for properly, promptly, efficiently, and... with disregard for the depth of our pockets.

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  9. Re:Interesting. by Applehu+Akbar · · Score: 3, Insightful

    Add to these the people who have just had a medical procedure that they have been instructed not to drive themselves home from. If you have no second driver in the family and you live in a place where taxi service is sparse and expensive, you will tend to fudge on the instructions and drive anyway. Ridesharing can improve public safety here too.

  10. Re:Interesting. by Goldsmith · · Score: 2

    I'm pretty sure the doctors, nurses, medical equipment manufacturers, drug manufacturers, disposable sterile supply manufacturers, various supply distributors, etc. are all part of some sort of organization (even as small as a family) that expects to turn a profit.

    The healthcare system in the US is not cost effective, private (about 2/3 of our healthcare costs are paid by the government), nor particularly "better" than any other reasonable alternative. The US government pays more per-person for healthcare than the Canadian government. If we switched to the Canadian system right now, at the same billing rates, our government spend on healthcare would go down.

    The US healthcare system is a very sizable chunk of the economy. Telling all the US doctors, manufacturers, distributors, medical lawyers, etc that they will only get paid what people in, say Canada or Germany, make in the equivalent jobs would unfortunately create a sizable drop in our overall economy. At root, this is why we're not able to actually fix things.

  11. Re:Interesting. by Luckyo · · Score: 2

    From finnish point of view, where ambulance costs something like 20-30 Euro (rest paid by the government), you get not only the unit but trained personnel. These people can quickly assess the nature of your medical emergency and treat it on site when possible. Many smaller traumas or sudden bouts of illness benefit significantly from quick identification and application of correct treatment.

    As a result, here you call an ambulance, and they'll often arrive, diagnose and treat the problem and leave you treated, because there's not even a need to visit the ER in the first place. The "mobile ICU" can handle the problem on site and leave patient in acceptable condition for him to be able to remain at home. At the same time if problem is actually serious, they can bypass the queue at the ER because they already performed medical triage and can provide ER doctors with relevant information about specifics of the problem.

    Which is results in savings for the entire system as it becomes more efficient overall. People with problems that don't need a visit to ER do not use ER resources. People who need to be treated ASAP before they condition worsens, and costs a lot more money to treat get to go past the queue of "I am drunk, tripped and fell and I need a few stitches" people. Something very important in country with fully socialized medical system, where efficiency of medical treatment of everyone is a key factor to the entire system continuing to exist.

  12. Re: Interesting. by nitehawk214 · · Score: 2

    But what if you can't drive? I recently had kidney stones and live alone. I had to take an ambulance.

    Actually I probably would have not gone Uber as I was pretty sure I was dying. Kidney stones are way worse than gall stones.

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