Ambulance Fees, a Barrier to Care?

The story of Dr. Ian Sutanto, who saved a man’s life at a basketball game and received a $250 ambulance bill in return, highlights the complexities of Canada’s emergency medical services system. The province of Alberta has since waived the bill, but the incident underscores a broader issue: how do we balance cost recovery with ensuring people get care without being deterred by crippling fees?

Canada’s system is one of the most complex in the world. While some provinces fund emergency medical services through provincial health insurance plans, others rely on out-of-pocket payments or private insurance. This means individuals and families can face significant bills for ambulance services, even if they have private insurance or a provincial health card.

A 2015 survey commissioned by CBC’s Marketplace found that nearly one in five Canadians had been deterred from calling an ambulance due to cost concerns. In Alberta, the number was higher: 25 per cent of respondents reported being hesitant to call for help. This raises questions about what happens when patients are worried about the cost of an ambulance ride. Will they delay seeking care or attempt to transport themselves to a hospital? The consequences can be dire, especially in rural areas where access to emergency medical services is already limited.

Dr. Sutanto’s proposal to waive fees automatically for Good Samaritans who assist patients is a good starting point. However, we must also consider the broader implications of our current system: how do we ensure that emergency medical services are accessible and affordable for everyone? By prioritizing access to care over cost recovery, we can create a more compassionate and effective system.

The incident in Alberta highlights the importance of proper training and emergency preparedness. Dr. Sutanto’s decision to perform CPR on the patient was likely influenced by his professional experience, but it also underscores the need for broader community awareness about emergency medical services. We should promote CPR training and AED access in public spaces to ensure people are equipped to respond in emergencies.

As provinces review their ambulance billing policies, they should consider the long-term implications of their decisions. By creating systems that prioritize patient needs, we can reduce unnecessary barriers to care and create a healthier society for everyone.