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re: OT Lawyers (and Doctors, to a degree)

Posted on 11/2/18 at 7:07 pm to
Posted by baldona
Florida
Member since Feb 2016
20543 posts
Posted on 11/2/18 at 7:07 pm to
quote:

It costs like $3 mil a year just to maintain a chopper. That’s not even counting staffing and overhead costs which are probably more than tha


The article claims $2.9 mil total a year total cost per helicopter. It also claims there are 905 in the USA which is way too many like twice as many as needed., per the article.

The article also says most of the helicopter companies are owned by venture capitalists, which means likely a huge profit margin.

These ‘highly paid’ staff lines is salesman BS. It’s not that expensive. It’s a Cush as shite job for one. They work for probably what 3 hours a week? The rest of the time is flying around.

Tell the helicopter pilots to pound sound if they think they deserve more money. How many civilian pilot jobs are out there? They can go fly tourists around Vegas if they think they deserve more.

There’s quite a few people that would love a $30/ hour 12 hour shift night gig where they only work for one hour a night and the rest of the time they mess around on their phones. It’s either that or change bed pans and work as an ER nurse. I’d take copter nurse over ER all day long.
This post was edited on 11/2/18 at 7:08 pm
Posted by High C
viewing the fall....
Member since Nov 2012
54047 posts
Posted on 11/2/18 at 7:09 pm to
Are you saying that Acadian never billed you for the additional $25k? This is the issue.
Posted by LSU82BILL
Fort Lauderdale, FL
Member since Sep 2006
10336 posts
Posted on 11/2/18 at 7:10 pm to
quote:

As a recovering lawyer I can say confidently that insurance companies are NOT on your side


And perhaps the insurance companies shouldn’t dispute inflated claims? That’s pretty good for guys like you taking 30-40% of the settlement. Kinda sucks for all the policyholders that don’t file frivolous claims but still get their premiums jacked up to cover the risk pool though.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 11/2/18 at 7:15 pm to
I agree with a lot of what you said. I’m just playing devil’s advocate. We still need to know how many flights they take to know if the cost is justified. My point was there might not be enough flights.

quote:

There’s quite a few people that would love a $30/ hour 12 hour shift night gig where they only work for one hour a night and the rest of the time they mess around on their phones. It’s either that or change bed pans and work as an ER nurse. I’d take copter nurse over ER all day long.


This I disagree with. The nurses have to be highly trained ICU nurses, CRNAs, etc. or else why even bother? Most of these patients are being intubated and receiving life saving care in flight. They aren’t just passengers.

This post was edited on 11/2/18 at 7:16 pm
Posted by yellowfin
Coastal Bar
Member since May 2006
97736 posts
Posted on 11/2/18 at 7:31 pm to
quote:


Acadian Ambulance sucks.


Acadian is great for the community, they provide lots of jobs and gives tons back. They are also growing and operate in I think 8 states now.
Posted by baldona
Florida
Member since Feb 2016
20543 posts
Posted on 11/2/18 at 7:32 pm to
quote:

This I disagree with. The nurses have to be highly trained ICU nurses, CRNAs, etc. or else why even bother? Most of these patients are being intubated and receiving life saving care in flight. They aren’t just passengers.


I’m not saying they aren’t highly trained, I’m saying how hard of a job is it? Would you rather make the same amount for 1 patient for 30 minutes of a 12 hour shift or work a normal shift with all kinds of patients and other duties.

If it’s a highly trained job but super easy the pay doesn’t always need to be insane to find employees.

3 people at $60/ hour year round is a little under $1.6 mil a year.
Posted by baldona
Florida
Member since Feb 2016
20543 posts
Posted on 11/2/18 at 7:36 pm to
quote:

We still need to know how many flights they take to know if the cost is justified.


Article linked previously discusses this also. It says there are way too many helicopters now and that’s part of the price inflation. Basically says that some helicopters used to do 1,000 flights a year. Now some are lucky to do 300. This the cost inflation.

I mean the article linked was a doctor with a gashed arm. Id bet at least 50% of life flights are pretty easy like that. They are already stabilized and simply need to be quickly transported to the regional specialist hospital. Given anything not easy is life threatening so I fully understand they also deal with a lot of very difficult dying patients.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 11/2/18 at 7:40 pm to
quote:

I’m saying how hard of a job is it?


You are asking the nurse to sleep at the facility and be ready in the middle of the night to deal with the hardest possible patient they could have with no physician physically present and limited supplies/resources while flying as fast as possible in a helicopter

Oh and the situation is life or death....

I’d say it’s a little more challenging than changing a bed pan
This post was edited on 11/2/18 at 7:44 pm
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 11/2/18 at 7:43 pm to
quote:

Basically says that some helicopters used to do 1,000 flights a year. Now some are lucky to do 300. This the cost inflation.


This was my point. Thank you for looking up the numbers. Less flights mean they have to charge more. If it’s truly a free market the prices will adjust as the supply of flyers decreases. If it’s truly a free market
Posted by baldona
Florida
Member since Feb 2016
20543 posts
Posted on 11/2/18 at 7:44 pm to
quote:

You are asking the nurse to sleep at the facility and be ready in the middle of the night to deal with the hardest possible patient they could have with no physician physically present and limited supplies while flying as fast as possible in a helicopter


Come on. It’s probably shift work 12 on 12 off right?

I never said it was easy. I simply said it’s likely a challenging yet fun job that many people would prefer over a boring standard nursing job.

Same reason why medicine in big cities pays less than medicine in small rural towns a lot of times. Because pay isn’t always based on skill, it can be based off of how easy it is to hire for the position.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 11/2/18 at 7:49 pm to


I’m just saying, look into what they do. I see you do your research.

These helicopters are flying a lot of unstable patients from hospital to hospital. It’s not just accidents. A lot of patients are on the brink of death, intubated, and very unstable.

Take something that is normally routine like starting an IV then try to do it on an unstable patient with no good veins. And just for good measure throw in some turbulence and the pressure of a life and death situation in the middle of the night.

You don’t think you have to pay a premium for that?
Posted by Ric Flair
Charlotte
Member since Oct 2005
13683 posts
Posted on 11/2/18 at 8:16 pm to
Plus they are working in a super confined space.

The helicopters up here in Charlotte are owned by the hospital. So I think they would be covered more by insurance than a third party Acadian ambulance type of service.
Posted by boosiebadazz
Member since Feb 2008
80413 posts
Posted on 11/2/18 at 8:18 pm to
gues we know which money you married into
Posted by pelicanpride
Houston
Member since Oct 2007
1303 posts
Posted on 11/2/18 at 9:54 pm to
quote:

there are way too many helicopters now and that’s part of the price inflation. Basically says that some helicopters used to do 1,000 flights a year. Now some are lucky to do 300.


That’s what I don’t understand. They made a poor business decision and opened shop in a saturated market, and rather than some of them just going out of business, they are apparently legally allowed to recoup their costs by charging whatever the hell they want to certain passengers.
Posted by Crow Pie
Neuro ICU - Tulane Med Center
Member since Feb 2010
25389 posts
Posted on 11/2/18 at 11:03 pm to
quote:

Are you saying that Acadian never billed you for the additional $25k? This is the issue.
Blue Cross apparently had a negotiated rate of which discounted their charge by 60-65%. Its been 5 months and nothing else from them,

They also charged me $4K from my house to the hospital (2 miles) in a regular ambulance which was discounted to about $1700.
Posted by High C
viewing the fall....
Member since Nov 2012
54047 posts
Posted on 11/2/18 at 11:31 pm to
Apparently they were in network. The problem is these air med companies don’t negotiate to be in network with insurance companies. This gives them the ability to gouge customers with health insurance to make up for any transports they do for people without insurance.
Posted by East Coast Band
Member since Nov 2010
62913 posts
Posted on 11/3/18 at 12:00 am to
It's bullshite insurance bilking by these private medical companies, like ambulance owners, that are one of the reasons that insurance costs for everyone are up so high all across the country.
Medical costs have gotten so stinking high, there are people in this thread seemingly OK with $18,000 helicopter rides.
Off the charts ludicrous.
Posted by TutHillTiger
Mississippi Alabama
Member since Sep 2010
43700 posts
Posted on 11/3/18 at 12:07 am to
This isn’t your fight, let them resolve it amongst themselves
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