It's depressing that The Onion headlines are becomming more and more milder version of reality. There was a skit a while ago about wounded people fleeing ambulances to escape debt hell, what we have here is arguably worse.
I had an ambulance called for me years ago when I passed out in public (nothing serious) and it was fairly difficult to convince the EMT's that I didn't want to nor needed to go to the hospital.
Mostly I knew I didn't need to go so it was time but yes money was a large factor as well. I had no idea what the bill would look like. I tried to get away so they wouldn't try to charge me just for coming out.