JAMA: Helicopters > Ground Based for Major Trauma

When the unsaid motto of a combo service is "he who owns the ground owns the sky"' there tends to be a conflict of interest...
 
But can you actually put a cost effectiveness price on saving a life? Difficult.

Yes and the world does whenever it doesn't suit their interests. Globally HIV/AIDS, cholera, and malaria are a prime example where no one really cares about saving lives.
 
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