Ambulance Privatization Ready to Go

The Village of Trumansburg held the final “Task Force” meeting Tuesday evening. Their task was to facilitate a move to a fee for service EMS, and end 40 years of an egalitarian single payer ambulance service.   This will increase insurance premiums, risk lives, and decrease volunteerism.  I’ve been to several of these meetings, and there is never any discussion of these problems.  They only talk about how to get ‘er done.  I asked to speak to the group a few months ago, and was denied.  In fact, there is no input allowed from the public, not even the 3 minutes allowed at Village Board meetings.  You see, they had a public meeting in July of ’08, and the public told them by a two to one margin, to leave our EMS alone.  They don’t want to hear that kind of thing anymore.
Debbie Nottke, the chair of the Task Force, congratulated and thanked the members for a job well done, and everyone was very pleased with themselves.
There was no discussion of the email that I had sent to them,
Here is an excerpt from the resolution passed on 12/14/09 after which your EMS Task Force was formed to implement the plan,

Whereas, a fee-for-service EMS ambulance service will take the form of an insurance only service for the purposes of protecting the most vulnerable patients within our fire district, those who lack any form of insurance coverage;

 

Therefore, be it resolved that the Village of Trumansburg shall move forward in good faith to establish any and all requirements, policies and procedures necessary to adopt a fee-for-service EMS ambulance service with a target inception date of June 1, 2010.

The “insurance only” aspect is now off the table since the Town Attorney’s memo has pointed to its illegality.  The former chair of your task force stated that if the “insurance only” aspect could  not be implemented, then a fee for service system would not work.  The public overwhelmingly rejected the plan (6/18/08 public meeting) before “insurance only” was part of it.

The basis for forming your task force, has been radically altered.  The task force should be ended.  You can no longer move forward in good faith.  Discussion of whether or not a fee for service system of any type must be readdressed at the Village Board, and the public should be a much larger part of this discussion.

When a person or group of persons set about to accomplish a task for a reason, and then circumstances change such that the reason is perhaps invalid, it is important to reexamine the reasons before proceeding with the task.  This reexamination is outside the scope of a “task force”.  Therefore the “task force” must be terminated or at least paused to allow for the reexamination.

The next step is for the boards of Trumansburg, Ulysses, Hector and Covert to all pass resolutions to initiate billing.  Then we can begin to shift some of our tax burden onto the insurance companies, who will of course, raise their premiums by this new cost, plus profit.  ”Insurance only billing” is off the table, so now the only people that need not worry about cost during a medical emergency, are those of us with platinum health insurance policies.  Statistics have shown that when a community initiates a fee for service system, the 911 calls decrease.  Some of these people die.

The next Village Board meeting is April 11th, and then the Ulysses Town Board meets the next evening.

The Vermont House just passed single payer legislation, and the Senate appears ready to do the same, and the Governor is eager to sign it into law.  http://www.valleyadvocate.com/article.cfm?aid=13331 This will serve as a model for the rest of the country.  This is how it happened in Canada.  First Saskatchewan, then the rest of the country.  But in Trumansburg we are moving 180 degrees in the opposite direction.

 

 

 

3 comments to Ambulance Privatization Ready to Go

  • Allen, I admire the way that you connect broader values on national issues to local politics. It’s a rare ability.

  • riddler

    Q: What would have happened to Jonathan’s comment if he’d waited three hours to post it?
    A: It would have become what he probably intended: An April Fool’s joke!

    Only kidding :)

  • Riddler, I admire the way that you wear a thin mask of humor over your anger. One of the great things about living in a community like Trumansburg is that most people here recognize the validity of many approaches to life, and the worth of many sorts of personalities, when brought together.

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