Hatzalla did not have an easy time in most jurisdictions getting permits to have ambulances, I’m sure doing so for profit would make it even more complicated. A pr nightmare
To the best of my knowledge there are no private ambulance services ( there are ambulances for mobility but not for emergencies .
Copays would be a huge issue , if they bill insurance theyy have to bill copays collecting copays (and even worse Because e of deductibles if might be hundreds) There is not enough demand only within the community to survive.
They are less likely to collect as much of they are charging anyone. The right thing to do if one uses the service and has the funds is to donate at least the amount you would have had to pay 911..of course even if all their patients pay there is hopefully not enough demand to pay the bills ( gas , malpractice insurance etc )
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