FYI:
http://www.signonsandiego.com/news/metr ... opter.html
City to charge for air ambulance transports
By Tony Manolatos
UNION-TRIBUNE STAFF WRITER
4:21 p.m. July 31, 2007
Some of the folks airlifted to hospitals on Copter 1, the city's fire-rescue helicopter, are going to have to pay for the ride starting Wednesday.
And by pay, we mean $3,250 an hour.
The San Diego City Council unanimously approved the fee Tuesday.
The service had been free, but the Fire-Rescue Department and the city are trying desperately to recoup costs in a lean budget year.
Patients have been paying for ambulance service for years. So the measure aligns airlifts with emergency ground transports, although the latter is definitely the cheaper way to travel.
“This is a responsible thing to do,” Councilwoman Toni Atkins said.
An official for the private helicopter company that airlifts most patients in San Diego and across the county said Copter 1 isn't adequately equipped to handle medical transports.
“I have a concern when I see the city getting into the private sector, because there's things we can do that they can't,” said Pam Steen, program director for Mercy Air Service, Inc.
Steen said Mercy Air staffs each of its copters with a paramedic and a registered nurse. Copter 1 has a paramedic on board but not a nurse, meaning more advanced life-saving procedures and medications are used on Mercy Air helicopters.
Copter 1 is only supposed to go on runs that Mercy Air can't get to in 30 minutes or less, but it has swooped in and taken other calls, Steen said.
“Sometimes, I think they need to justify the use of their aircraft,” Steen said.
Battalion Chief Greg Donnelly, who oversees the department's Air Operations Division, agrees that Mercy Air is better equipped than Copter 1.
“We're not an air ambulance. They are,” he said. “We're not trying to compete with them. We just want to recoup our costs.”
Mercy Air operates two to three copters in San Diego County, but the units also respond to emergency calls outside the county.
Copter 1, purchased two years ago primarily to fight wildfires, handles about 60 medical transports a year. Fire Chief Tracy Jarman assured council members that Copter 1 won't be sent on medical runs if a wildfire is raging.
People who are rescued on Copter 1 would be stuck with the bill if they don't have insurance, or if their provider doesn't cover the cost.
Fire-Rescue officials said private companies like Mercy Air charge about $9,000 an hour. Steen said Mercy Air's fee is higher than the city's, but she wouldn't discuss specifics.
For all of Mercy Air's medical readiness, its copters aren't equipped with a hoist, meaning cliff rescues are left to Copter 1.
Fire-Rescue spokesman Maurice Luque noted the city won't charge folks for rescues, just hospital transports.
So if you need a lift off a cliff to a waiting ambulance, you won't be charged. But if your injuries are severe, and you find yourself on Copter 1 en route to a hospital, you might want to tell the pilot to speed it up.