https://youtu.be/0QSJ0WyAW2E

seems to me that just create way too much commotion with the siren -
they are on a highway - traffic is moving fine - it is raining - they
are in the wrong lane passing cars so they can save 1 second in
response time if that - is it really worth it?

they enter the highway with the siren blaring - if just 1 person slams
on the brakes, its all over

passing the long line of queed up vehicles - no need for siren then -
even when cutting off the oncoming car

all the noise pollution and needless danger - for what?

IIRC - San Francisco does not use sirens enroute to hospitals for 99%
of their transports

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