From a consumer point of view, I’ve got a “do not Med Vac” label attached to my glove compartment in my auto. I’ve seen average delays of one to four hours for arrivals at Trama Centers chosen over a 5 or 10 minute ambulance ride to closest hospital. I was told by my auto insurance company that often after a $15,000 trip the patient is discharged the same day. Our Blue Cross/Blue Shield would not commit to whether or not we were covered — “it all depends.” When asking the local EMS as to what determines which Trama Center a patient is transported to — “which ever helicopter is available first.” Thanks, but no thanks. I’ll take my chances with the local ER!