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The article addresses the public health inequities caused by for-profit ambulance agencies, which can put low-income families in a worse situation when they bill outrageously and/or sue their patients after sometimes providing sub-par or negligent treatment. Also shows the poor examples of emergency response when first responders are delayed due to understaffing or don't have the drugs/ equipment to adequately treat patients ("hospital shopping" done by desparate ambulance agencies). 

Looking on Google, this article has been referenced by a University of Washington anthropology professor (http://www.washington.edu/omad/ctcenter/projects-common-book/mountains-…) and in the book "Viral Mothers: Breastfeeding in the Age of HIV/AIDS".