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I reported your post as well, and am reporting mine.
I don't think it is. Think it may have been worded better, though. It's not necessarily related to *abuse* of the system. Fees/charges can happen on the first call in some areas.
Most of you, maybe 99%? live where fees like this will never happen.
Count your blessings.
Some of us - on the other hand, unfortunately live in areas in the USA where Medics DO charge high fees for lift assists, and also for calls in which the patient declines transport.
For example, where we live - the fee for an ambulance that is dispatched, and cancelled after making contact with a patient who refuses care has gone up to $300.00 this year per incident. Even if it is the very first time you called 911 in your life. If you choose to decline the services - you are billed. And insurance will not pay.
The cost of a simple lift and assist (not for repeat people, either) this will happen on your first call - is presently $175 this year. Insurance will not pay, either.
Don't know if this will be a trend. I hope not. But, it makes life much harder on us Caregivers.
I used to live in a city where we had to pay a fee each year, or else any call involving medics/fire department resulted in very large bills. We happily paid the fee each year, and we never once had to use their services back then. I think that is an excellent solution to paying higher fees for service.
Editing to add: That if the OP means the charges are a punishment for 911 *abuse*, that is not how it works. Legally. However, some agencies are indeed charging high amounts for services that are cancelled and lift assists.
Oh and another time needed the fire department to help extricate our cat Gracie, who had wedged herself into a very, very tight spot in the basement of this old house. They had the tools to remove a few bricks, and expertise to pry her out. I wrote a check as a donation, since they weren't going to charge us anything for helping us. Otherwise, per an earlier post, when there's plumbing problems here...I call the plumber! : )