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This is America
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I'm terrified of ever having to take an ambulance. How the fuck am I supposed to know which for profit company will send a van out for me?
And so little of that money ever makes it to most of the paramedic and hospital staff. It's insane that someone performing life-saving work on call makes, on average, $45k.
Even 7 or 8y ago people were calling an Uber to take them to the hospital instead of an ambulance purely to avoid medical debt. Healthcare is fucked in the US.
Jesus, imagine having kids in America. First you're stressing that they may need the doctor one day, then you send them to school when they have active shooter drills. I'd nope the fuck out of there in no time.