if someone has a 15 or 25 dollar co pay and they would be billed that for having hatzolah transport their family member to the amulance at least hatzolah would be able to collect quite a few hundred dollars from the insurance companies as well. this would relieve a lot of the financial stress that the organization has.
it would be well worth it in the long run.
and the co pay cost would probably be similar to the cost of a car service to the hospital in the city.