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11

Giving the Best Edge, 1984, January (103-107) JEMS

[…] does nothing, and leaves the
private sector alone, won‘t everything
be all right?

Caught up in the zeal to promote
the private sector, the well-meaning
but unsuspecting citizen may actually

promote a system structure which will
ultimately destroy the most qualified

private operator, leaving his corporate
bones to be picked over by cream-
skimming competitors, creditors, and
even an occasional attorney general.
As […]

13

EMS Historian 2021 Digital

[…] assisting other
hospitals and communities set
up their own EMS organizations.
Advice was given as far away as
Spokane, Washington who wrote the company
for advice.
One example of the EMS system’s success
occurred in the aftermath of the Rialto Theater
Fire in New Haven. A converted Vaudeville
house converted into a movie theater […]

14

Socialized Prehospital Care_ Part 2 (51-54) 1984 12 JEMS

[…] peak

load demand.

In practice, fair application of the

prevailing rate concept in this
industry presents even more

complications than the simple
examples above suggest. Merely
dividing the providers into subsidized

vs. unsubsidized categories isn’t

enough. Actual provider subsidies
cover the whole range from zero to

100 percent. Some providers serve
multiple jurisdictions, some of which

subsidize while others do not. If
service levels are equal, rates

charged […]

15

Peas in a Pod_1986, August (63-64) JEMS

[…] five of my own turn-key system

installations, an agency of government

performs all billing, collection, and
accounts receivable management
functions.

Murphyarguesforbettereconomies
of scale and recognition of natural medi-
cal trade areas. He even admits that
actual cost fees offer certain advantages
over traditional methods of funding gov-
ernment-run services. No argument.
Murphy and I would probably agree,

with minor.exceptions, on issues like

peak loading staffing, vehicle mainte-
nance […]

16

Federal Policies Promote Socialized Prehospital Care (92-94, 99) 1984 10 JEMS

[…] time has
come. In the long run, this may be
the most important series 1’11 ever

write for jems.

As the title suggests, federal

policies, mainly Medicare and Medi-
caid policies, actually promote the
establishment of socialized (i.e.

government-operated ) prehospital
care systems, and insulate those
systems from private competition.

These same federal policies spawn
and sustain incredibly inefficient

ambulance systems by helping to
hide true […]

17

The Black and White World of Private EMS, by Nancy Peterson, 1988, October, JEMS_ Jack Stout quotes

[…] w e r e in th e p r iv a te
a m b u la n c e b u sin e ss, I’d sta y
a w a y fro m em e r g e n c y w o r k lik e
it w a s a b a d ra sh .”

I
I

It is also argued that private services
are actually no more cost-effective than
those on the public side. ”I don‘t think its true that privates are
more cost-effective,” says Peter Pons,
MD, medical director for […]

18

Lets Dump the Prevailing Rate Approach_1988-February (63-68)_ Jack Stout

[…] will pay 80 percent of the
allowed charges for ambulance ser­
vices. Basically, allowed charges are established for each provider as the
lowest of three amounts – (af The actual charge listed on the
Medicare claim form; (b) The pro­ vider’s customary charge (i.e., the
amount most often billed for the
jems FEBRUARY 1988 63

INTERFACE
service during […]

19

Letters, Jack Stout reply_ 1989 Feburary, JEMS

[…] to be interviewed a number of times. On
many occasions, I have asked to proof the
article before it went to print in the interest of presenting factual information. With
only one exception, I have been told no; that … my review of their material would
be inappropriate and possibly compromise their writers’ rights […]

20

How Much is Too Much_ (26-34) 1984 02 JEMS

[…] is it fair to expect from a field paramedic? And, per­
haps most useful of all, is there a way
to measure how hard a system is
actually working so that “overwork” can be objectively defined and
avoided?
I know that more intelligent
coverage and deployment/redeploy­
ment techniques can benefit the patient. But I […]