Every time I read an article like this I end up baffled. I don’t live in the US (or Europe) and even in this part of the world I know that my health is taken care of. I might get a higher bill by choosing a private clinic to get a single room or a hotel-like experience, but if I choose to I can pay zero for a broken arm or even heart surgery. If the ambulance is closer to a private facility, then there’s where I am taking to, I’m not paying extra for that.