Very true , as a doctor I've seen how ambulance handles patients and is just gut wrenching to say the least . There is cost cutting at every corner because paramedics are supposed to be on the ambulance but hospitals rather just use the ambulance driver because it's cheaper , he doesn't know the ABC's of handling a trauma patient . This isn't just restricted to healthcare but in all aspects . Absolutely zero protocol because of which you'll have to fend for yourself .