Because it will shift it from being a volunteer ambulance to a private ambulance company.
Now that isn’t necessarily bad there are plenty of private ambulance groups out there, but that wasn’t what Hatzolah was designed for.
Hatzolah isn’t exactly struggling financially, it is a organization that carries a lot of panache and is easy to get funding for. billing opens a pandoras box, and will probably change the nature of the organization.
Furthermore, billing requires charging a copay (to those, like most who have a copay for ambulance ride ) It is insurance fraud not to charge a copay (although they don’t have to collect it)