I took the liberty of forwarding the original post to a friend at the FD,
and was asked to post this message in reply to Dorie Rae Gallagher's
posting.

Bill Radosevich
Lyndale

<start>

October 5, 2004

Dear Ms. Gallagher,

I was forwarded your email regarding the $400.00 charge the Fire Department
files with insurance companies against an insured's personal injury accident
fund. As you may not know, the Minneapolis Fire Department averages 34,000
calls a year. Of these, 24,000 are 911 requests for emergency medical care.
We are proud to respond to calls for example of shortness of breath where we
administer life-saving oxygen, diabetics in need of sugar where we
administer oral glucose, cardiac arrest patients who require a shock from a
defibrillator or victims of car accidents who may need nothing more than a
physical assessment and in worst case scenarios, extrication from the
vehicle.

In order to provide this service, each one of our firefighters are initially
trained as Emergency Medical Technicians (EMT)'s and then annually they are
required to undergo extensive continuing education requirements to meet the
State of Minnesota's EMT-Refresher curriculum. We take this responsibility
seriously and we are dedicated to our mission, which of course is to save
lives and protect property. Up until a year ago, we have provided this
service free-of-charge. Unfortunately with the changes in local government
aid, we have been forced to find alternate sources of revenue, just to keep
firefighters on fire trucks and responding to emergency medical calls as
well as fires.

We are not eligible under current law for reimbursement through medical
insurance because we do not transport patients. The State does provide Fire
Department's reimbursement for car accidents from automobile insurance
companies. The law does not allow discrimination of this charge and we are
therefore required to charge the same for all victims of all car accidents,
regardless of whether they are a City resident or not. Insurance companies
do reimburse this fee, up to the personal injury fund limit of $20,000.00.
Once that amount is exhausted, reimbursement is ceased. Our nominal $400.00
fee for response and evaluation of a victim's medical complaints does not
cover our expenses. On any given personal injury response, you may find
anywhere from one to three fire trucks with 4 - 12 Firefighter/EMT's. On
average, vehicle extrication if required, will take up to 1 or more hours
and requires extensive hydraulic equipment and rescue expertise.

Certainly, our goal is not to get rich or inconvenience the citizens we
serve but simply to offset costs of providing this service and to continue
the exemplary patient care the citizens of Minneapolis have grown
accustomed. As always, we have excused this charge for anyone that
demonstrates a financial hardship and if that is the case in your case, we
will do the same. I am very sorry for your experience and I thank you for
your understanding as we all struggle to survive.

Respectfully Submitted,
Charlotte Holt, EMS Chief
Minneapolis Fire Department

<end)

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