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<br />Mrs. Bach stated she is against the rate increase and wants to know <br />whether, as was promised, there will be a substation built in Santa ~ <br />Clara if the increase is granted. .., <br /> <br />Michael Anderson, 3659 West 18th, No.2, a former employee of MSI <br />and a paramedic, distributed materials to the councilors. He worked <br />for MSI for nearly two years. He feels the 30-percent rate increase <br />is unjustified and that rates are too high in proportion to the <br />services rendered. The question is the value for the dollars spent. <br />Citizens for Public Ambulance Control have been circulating petitions <br />for four weeks and have collected 2,126 signatures. He distributed <br />copies of the petitions to the councilors. The petition reads, <br />"We, the undersigned, support our paramedics and bel ieve they work <br />hard to bring us quality emergency care, however, the company they <br />work for--Medical Services, Inc., is a high-cost, private enterprise <br />in business for the purpose of earning a profit. The cost is already <br />too high in relation to the service provided. We hereby petition: <br /> <br />1. That Medical Services, Inc. not be granted an increase in rates. <br /> <br />2. That alternative forms of ambulance service be investigated, such <br />as a non-profit organization or other form of publicly controlled <br />service. <br /> <br />3. That Medical Services operator's license not be renewed July 1, <br />1980, if the investigation so warrants." <br /> <br />Mr. Anderson distributed packets to the councilors for them to read. e <br /> <br />Mr. Anderson stated he has a copy of the letter from Mr. Leonard to <br />Mr. Henry received April 28 which asked for a rate increase effective <br />May 1. The council asked for a public hearing on this item at that <br />time. Mr. Anderson said the letter is 15 pages long with pages and <br />pages of unexplained charges. He stated the paramedics would not be <br />able to explain the rate charges because it is MSI's policy that the <br />paramedics not know what the rates are. He stated MSI's rationale is <br />that if the paramedics know what the rates for certain services <br />are, then they will chnnse to use or not use them because of cost. <br />In the case of cardiac arrest, if the Fire Department is called and <br />they are doing CPR and the paramedics arrive to advance life support, <br />there is a charge for the CPR ($66), which is billed by MSI even if it <br />is done by the Fire Department. He stated he has a copy of the policy <br />from MSI that they will bill for CPR even if their paramedics do not <br />administer it. When fire departments use supplies, MSI replaces <br />those supplies to the Fire Department and then bills the customer at <br />MSI 's rates. <br /> <br />Mr. Anderson stated that in the packet given to the councilors, there <br />is a breakdown as to what it would cost if one of them broke a leg <br />in the Council Chamber and was transported to Sacred Heart for treat- <br />ment. The charges would be as follows: <br /> <br />e <br /> <br />5/27/80--4 <br />