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This honestly should be the way it is. I think movies have given a very false understanding of when you actually should be calling an ambulance.
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I don't think we should be gatekeeping whether people are allowed to call the ambulance or not. Expecting people to diagnose their own medical condition (oh it's just a little lightheadedness and faintness of breath, no problem) can quickly turn into a more expensive medical problem down the line (oops, turns out it was a stroke and the person crashed and injured another person while driving themselves to the hospital).
It's not like riding in the ambulance is this fun joyride that people are abusing and adding to wait times. The guidance people are given (and should be given) is literally "when in doubt, call 911."