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Vital Role of Air-Medical, Critical-Care Transport Services in the Spotlight

by Barbara Kram, Editor | May 20, 2009
Voice of the medical
transport community, which
daily plays a critical
role in saving the lives
of so many Americans should
be included in the larger
national discussion
Alexandria, VA - As Congress and the administration home in on policy options aimed at expanding healthcare coverage, Association of Air Medical Services (AAMS) President Sandra Kinkade today urged greater inclusion and consideration of air-medical and critical-care ground transport services in evolving reform measures.

"We applaud the commitment of President Obama and Congress to work together with industry stakeholders to curtail costs while also expanding coverage and incorporating information technologies aimed at streamlining the healthcare paperwork process," said Kinkade. "We also were thrilled to be invited to present our perspective at a healthcare reform town hall meeting that preceded the debate in Congress this week. But we strongly recommend that the voice of the medical transport community, which daily plays a critical role in saving the lives of so many Americans will be included in the larger national discussion."

Joining Kinkade in the call for greater inclusion in shaping healthcare reform legislation was Dave Thomson, MS, MD, FACEP, CMTE, CHC, of Syracuse, N.Y., who testified on behalf of AAMS during the healthcare reform town hall event, held by Rep. Ed Towns (D-N.Y.) in Brooklyn on May 9. Speaking inside a packed auditorium, Thomson outlined the important role specialized medical transport providers play, particularly in rural areas where they increasingly serve as a life-saving healthcare safety net.
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"Every 90 seconds, a critically ill or injured patient is medevaced in the United States...that's 400,000 patients each year," said Thomson, who also noted that medical transport providers offer critical early-interventions for a number of medical conditions, "including stroke, heart attack, trauma, accident-related injuries, premature labor and birth - to name a few."

But, reliance on air-medical transport, in particular, also has surged - in part because of "aging baby boomers" who are retiring to Sunbelt areas that lack quick access to specialty-care hospitals, and because so many local jurisdictions have closed their emergency departments or cut back on community-based ambulance services. These factors need to be considered in proposed healthcare reform measures, Thomson noted.

Other medical-transport-service concerns include Medicare payment structure changes that have resulted in a dearth of rural trauma and tertiary care-centers; specialty physician shortages, which have frequently necessitated distant air transport; and rising numbers of uninsured patients, particularly in recent months.