Revolutionary: I absolutely agree with you. I have seen this system at its worst. Launching helicopters to get people out of clinics so doctors can go home....flying people all over the mountains of Montana who were flown only to save an ambulance from having to drive for three hours.... These decisions are being made by medical professionals and medical crew members and in many cases, the reason is almost always so they can bill for the flight. I was almost always, and rightfully so, never made aware of the patients condition until arrival on scene.
To answer those who haven't read closely my previous post: I did not say the accident rate for EMS is getting better, it is getting worse. We all see that! I pointed out some practical ideas to make them safer. The Air Angels flight tragically clipping a 700' AGL guy wire probably could have been avoided.