Maybe not forced but many smaller facilities are not very good at discussing the various transportation options with a patient. Here it's "the ambulance/helicopter is here to take you to the trauma center, good luck. No one talks about billing, just that the doctor thinks it's "necessary." Many patients complain to both us and the local helicopter services about how much their transfer costs. To a certain extent the providers have a responsibility to either not suggest medically unnecessary procedures or at least educate about their costs.
I don't think this was a waste. Sometimes speed does matter. But then again we don't have quite all the info.
I agree with you, and posters above. I'd be flying myself to a trauma center to save my thumb, and time is an issue with amputations, obviously. For all we know he was 200 miles away from the surgeon.