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“Hatzalah is specifically designed for pekuach nefesh situations”
Yes, so is the 911 system. That doesn’t mean people don’t call for stupid reasons. Ask anyone in the field (either Hatzola or 911) over 90% of calls aren’t real emergencies.
“Hatzalah can’t make a determination everytime a call comes in whether it is an appropriate use of Hatzalah, since they risk making a wrong call if they deny service and it turns out it really was a true emergency.”
Your ignorance on this matter is glaring. Even if s/o calls Hatzola and says explicitly “I stubbed my toe last week and need an ambulance” they are legally obligated to respond. If they don’t they will be closed down by the DOH by the end of the day. They cannot pick and choose what they respond to.