Paying for a service is always tough. People get sick or are injured and need transport to a hospital. It is assumed that “someone” will take the person to the hospital. For 50+ years throughout most of the USA that has been an ambulance, sometimes a private service, sometimes a service operated by the local fire department, sometimes an independent ambulance service , and sometimes a hospital service. It is always assumed that transport will be available and will respond. And transport happens sometimes by a paid group of responders, sometimes by volunteers, and sometimes a mix of paid and volunteer people. The big question is who should pay for this transport? The assumption of most people seems to be “somebody else” the municipality, or the county, or the fire district, or an ambulance district, or the state government. When ambulance services first started, most local organizations had to fight for funding to pay for the vehicles and equipment and fuel. The value of the ambulance and rescue services have become obvious to governing bodies over the years so that bake sales and car washes don’t have to be held so that there will be gasoline in the vehicle the next time a call comes in. However, an equitable distribution of costs remains an elusive goal,perhaps unobtainable. Funding always needs to be defended when the county or city or state starts the yearly budget process.