The sessions also addressed misconceptions about air medical
memberships. Doyle explained that memberships, tied to specific
providers, often provide little value in emergencies.

“When you buy a membership with a company, it is specific to that
company. That means if a different provider flies you, the membership
doesn’t apply,” said Doyle. “Nationwide, across all air medical
companies, only 0.0017% of the population ever needs to fly. It
doesn’t make sense to sell memberships to people on the small chance
they might need it.”

from 
https://www.airmethods.com/press-releases/hospital-staff-and-first-responders-learn-truths-about-air-medical-billing/

yet some counties and citys buy memberships for everyone in their jurisdiction

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