Obviously these aren generally unitary items dedicated to that one call (“they were on duty and getting paid anyway to sit around!”), but when there are enough abusers it does eventually require hiring additional staff and buying more equipment to maintain the same level of service. My driver and emts are paid by the hour.How in the world does an extra trip cost 2,000?The fuel is say, 50. I already paying the workers, so that not an extra cost.What one time use equipment will be needed to replace for a guy faking a stubbed toe? I don think I will be using the rib spreader.First, I don think you know what marginal means.Second, how the heck can a marginal trip cost over 2,000??Billing has nothing to do with cost.Suppose I make widgets.

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