Clearly, it isn’t just a California thing.
Without knowing too much about the Ohio incident, it does happen quite frequently. The combing through different bases is something a hospital could care less about, when as
@DesertMedic66 pointed out, they’re just trying to get a patient out.
My base has no issues saying no, even if it means I will ultimately end up on the ground transfer for it. So is life.
But as an example of things, I’ve turned calls to the base
@DesertMedic66 is now at simply because we may not be able to get to said hospital from The Valley Floor but they might be able to from The Desert Floor, and vice versa.
I’ve also been taught to advise their base when I’m able to on the turn down and why it was turned by our base. And if they call (which they have) and inquire why, I have no problems disclosing what we see on our end vs. what they may/ may not on theirs.
At the end of the day, competitor or not, no one wants that on their shoulders.
TLDR~ logistics do sometimes play a factor; no clue if they did or didn’t in this particular case.