The article discusses the high cost of ambulance rides in the US, citing the case of a man who was charged $12,873 for a 6-mile ambulance ride. The article argues that the problem is not due to greedy ambulance operators, but rather the way ambulance services are funded, with a focus on per-ride fees rather than a premium-based model. This system leads to surprise bills and high costs for patients. The article suggests that a more efficient way to fund ambulance services would be to pay for the option of rescue through a premium, collected from everyone the service stands ready to rescue.