That's not how it is here.. The ones who can pay, abuse the service, and never pay. The ones who can't, often don't call, because they don't want to be in debt to someone. We have a lot of patients offer something, in exchange for EMS service. Heck, they even come a month before and say, hey, we might need an ambulance, but won't be able to pay, how about I do this; or can we work something out.... and so on. Then, of course, there are the deadbeats who take from everyone possible, welfare, SSD, they lie about an illness to get a ride, and feel it's owed to them, so they don't have to pay. Yanno, we owe them something for their selfless work, as a professional couch potato.