But as a rule, if the average customer gets bigger then as an industry we need to provide a bigger vehicle.
The financial implications of this are enormous - not just new, larger helicopters, but larger helipads, hospital buildings reinforced for stronger rooftop pads etc - just so some people can continue to eat too many pies?
I doubt she would have been able to get a regular seatbelt around her body at 400lb. It is possible to buy extenders that add a foot or two but her sheer bulk may well have been the reason why she wasn't buckled up.
So it's okay for her to drive without a seatbelt because she's too fat to do one up? Would it therefore be okay for someone to exceed the speed limit because their car's speedo was broken?
Was this overweight person operating the vehicle within it's design limitations? Road vehicles have maximum capacity too! (or did she exceed the lateral C of G limits, and hence the rollover?)
Yes, and did the tyre blow out because it was overloaded or hadn't had its pressure and condition routinely checked?
Personally I would apportion the blame equally between McDonalds/Burger King/KFC for providing fast food of incredibly high calorific value (i:e fatty food) at unbelieveably low price to a vulnerable American public
Vulnerable to what? Greed? If people choose to eat fatty junk food instead of healthy food, you can hardly blame the fast food providers - should the government of a free country close down successful restaurants because a large part of the population is too weak to wean itself off a junk food habit? A bag of lettuce/tomatoes/carrots etc hardly costs a lot, and could make a filling and healthy salad.
Many are in a hurry, cant cook, off to work to survive and need the quick shot of food.
You can eat a piece of fruit in the time it takes to eat a chocolate bar. You can cook some pasta and vegetables in the time you usually waste waiting in the drive-thru queue at McDonald's or wherever.
Others have nothing to do, watch the tube and eat
So the rest of us have to pay higher taxes to provide facilities for those who don't work and pay a penny of tax to gorge themselves?
If people choose to overeat junk food, that's their choice, but they need to understand that being grossly obese will mean that they can't take part in certain activities, whether it's a funfair ride, a cinema seat...or being transported rapidly to hospital in a helicopter which is more than adequate for normal-sized people.
Trying to punish the EMS crew for their safe and sensible decision is disgusting.