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Re: Private Versus Public: Garbage, Ambulance and Fire
skipsul: To turn this back to the original point:
1. Post Office - I think we can all agree this needs to go private.
2. Ambulance service - should be private, but also needs the stink of our current insurance racket removed so that a 12 block ride doesn't cost $16k.
3. .....
Part of the of the cost driver on ambulance service is insurance reimbursement. Just like with medical services, if insurance negotiates a rate based on the prevailing rate then it would amount to fraud for the ambulance service to charge less to the uninsured than they do the insurance company. And since much of the business for ambulances will come from insurance payers then there is great incentive to inflate the "normal" price - even if it means many of the uninsured eventually turn into uncollectible accounts to be written off. It's a terrible game that gets played.