Decade Without Police Sirens: A Personal Observation in Public Safety Trends | August 02 2025, 23:48

Interestingly, I haven’t heard a single car siren in almost ten years, except from medical and fire vehicles. At least around here, it seems even the police don’t use them for their purposes. Apparently, the reason is that a police car with a siren behind is perceived as a command to stop and be ready to show your documents. But fire trucks and ambulances, it seems, always use theirs.

Many people don’t know that what we think of as an ambulance doesn’t really exist here. That is, you can call 911 and request a medical vehicle, and they will come, but it’s usually only done in truly critical situations—like a heart issue or if you’ve fallen from a staircase and can’t get up.

This service, EMS, always sends a bill. The minimum is $550, but typically more than $1000, depending on the type of vehicle sent—which depends on what was said on the phone—and how many miles it is to the hospital.

If transportation to a hospital is necessary, an insurance company, Medicare, or Medicaid initially pays for it. The patient might only need to pay the difference—for example, a co-pay or a deductible. If the person is unable to pay due to financial hardship, CNS will not send the bill to collections nor will they recover the debt.

If you call 911 and report that someone has fallen from a ladder, especially with a suspected head, neck, or back injury, the dispatcher will send a full fire & EMS response. That means, besides the medics, this big red fire truck shows up. It arrives not because there’s a fire, but because it is staffed with EMTs (Emergency Medical Technicians) who can begin assistance even before the ambulance arrives. Additionally, fire stations in the area are positioned such that the nearest fire truck can get there faster than a free ambulance.

In various incidents, if you can get to the hospital on your own, experience shows that it’s often necessary to go if you want results. This is not free either. Every such visit costs me $200 (insurance pays ten times more), but as it turned out later, it was always worth it. You just need to know where to go, and choose large facilities where the queues are shorter.