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medicone: Why is an extra 30 minutes (or less) such a bad thing, especially with trained EMT's at your side?  They certainly have enough equipment to keep you going until you reach a more reputable and able hospital.  AND once you get there, you'll be receiving care from those trauma and specialist doctors that Tehachapi admittedly lacks. I believe that the 30 minutes with trained EMT's, and the ultimate care in a trauma/specialty facility is not a comparison with the alternative--a 10 minute drive, to be greeted by understaffed, overcrowded, antiquated facilities that cannot offer any trauma treatment/specialist treatment, and who will probably after sending the ambulance away, will call the ambulance back to send you to that more qualified hospital anyway...   I just feel sorry for those that have insurance that forces them to undergo this sort of situation.  If you choose to go to Tehachapi "ER", then go for it--but if it's called an Urgent...
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