Paying for EMS

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Justin
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Paying for EMS

Postby Justin » Thu Jul 17, 2014 12:28 pm

On SA FM right now.. A discussion on paying for EMS services.
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Nic Le Maitre
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Re: Paying for EMS

Postby Nic Le Maitre » Thu Jul 17, 2014 12:41 pm

Missed it.

What was their conclusion?
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Justin
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Re: Paying for EMS

Postby Justin » Thu Jul 17, 2014 1:02 pm

It was a very quick interview (and I did not get to hear the end of it) on the Midday Live show.
Bongi Gwala asked a Gauteng EMS spokesperson if the Gauteng public would have to pay for EMS services. After some banter, the answer appeared to be 'Yes'.

In particular Fire Services and Ambulance Services were mentioned.

Please let us know if you hear of anything further :thumleft:
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emile
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Re: Paying for EMS

Postby emile » Thu Jul 17, 2014 1:26 pm

F#ck me. Are these government types on a mission to make us pay double for everything?

Old Smelly
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Re: Paying for EMS

Postby Old Smelly » Fri Jul 18, 2014 7:11 am

Its ok for the mountains because you don't want them - you want MCSA SAR!
Really, its not that bad...I think it's my shoes...

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Re: Paying for EMS

Postby Nic Le Maitre » Fri Jul 18, 2014 8:11 am

MCSA SAR works with the various EMS bodies in the relevant areas.

IF this does happen it could result in people delaying calling for help, exacerbating the situation and even deaths as has been shown to happen overseas.
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Justin
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Re: Paying for EMS

Postby Justin » Fri Jul 18, 2014 9:58 am

Old Smelly wrote:Its ok for the mountains because you don't want them - you want MCSA SAR!


As Nic says below they all work together now. The first problem (that comes to my mind) with what you're saying is that the MCSA alone does not have the authority to get a helicopter off the ground.
So your rescuers may reach you (and certainly perform a recovery)... but if you need to get to a hospital within the hour for treatment, a helicopter is the only thing that will save you.

e.g.
- A person is in trouble on the mountain.
- A helicopter is directed to pickup a Search & Rescue trained doctor at a nearby hospital (this step may not be necessary as paramedics may already be on board who are able to deal with the situation).
- The helicopter drops off the Rescue Team + doctor/paramedics.
- The team reach the person in trouble and the doctor stabilise's the patient.
- The patient is hoisted into the helicopter and dropped off at a hospital/ambulance.

This all takes place in under 2 hours.
Now think about doing that without a helicopter :!: :?:

Nic Le Maitre wrote:MCSA SAR works with the various EMS bodies in the relevant areas.

IF this does happen it could result in people delaying calling for help, exacerbating the situation and even deaths as has been shown to happen overseas.

Agreed.


A fun read: (when you think of the Polish guy getting all up set and chartering his own private chopper :)

Mont Blanc mayor angered by 'ad hoc alpinists' who treat Europe's highest peak like 'amusement park
Polish climber who demands to be airlifted off Mont Blanc because he did not want to walk back down invokes the wrath of locals who warn the perilous mountain is no "amusement park".
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Nic Le Maitre
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Re: Paying for EMS

Postby Nic Le Maitre » Fri Jul 18, 2014 10:30 am

As it stands currently THERE IS NO CHARGE FOR SEARCH AND RESCUE IN SA (just need to re-iterate that)

How it works is like this:

You are on Table Mountain, you become hurt, lost, stuck and require rescue, the Red Cross AMS helicopter is dispatched with an EMS paramedic and a Wilderness Search and Rescue volunteer climber/technical rescuer. We come find you, stabilize you and extract you to a road or fly directly to a hospital. Obviously there are costs involved in this (heli crew, fuel etc), if you have medical aid then the costs are recovered from your medical aid (in the same way that they would be if you used a private ambulance service). If you don't have a medical aid then the provincial government covers the costs.

If a SAAF aircraft is used (Western Cape and Rest of SA), then the costs are covered by the SAAF training budget and there are no costs to you.

The provincial governments budget for these expenses as part of their health department budget, so in effect we already all pay for them. Charging for EMS/Fire/whatever would amount to double taxation.
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Re: Paying for EMS

Postby BAbycoat » Sat Jul 19, 2014 3:09 pm

charging fr EMS/Fire/whatever would amount to double taxation

Double-taxation didn't stop e-tolls. No reason to expect EMS any different.

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Re: Paying for EMS

Postby Justin » Sun Jul 20, 2014 9:55 am

Mr Kratik announced that the public were now prohibited from entering the sea. As we know, said Mr B.R.O Kratik, the seas are not safe. Too many irresponsible people get themselves into trouble in our seas.

:arrow: New Regulations Benefit Natural Resources and Public Safety
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