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Tue May 1 02:05:27 BST 2007

I have been watching this discussion point.    I have not  comment on purpose 
as I wanted to see just how this would unfold.    Air Ambulance use for off 
shore, high rise, and wilderness RESCUE is  essential.   Air ambulance for most 
urban and suburban areas of the  WORLD are overused, over expensed, and 
complications, death rates, and safety  records under reported.     

>From a strictly scientific standpoint, air ambulance use in urban and  
suburban areas cannot be supported.   From an economic standpoint,  including public 
relations and filling unfilled hospital beds, air ambulance use  are 
excellent vehicles if the case mix is such that sufficient number of the  passengers 
have some form of payment.    From a cost effective  analysis risk adjusted and 
time adjusted standpoint one can never defend air  ambulance use.    

But like CEO salaries, NFL 1s round draft choices, and politics, our  
discussions have very little chance in changing the  overexpenses.    

k

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