Source: Boing Boing
For decades, funeral homes controlled ambulance services across America because they were the only entities with vehicles designed to transport bodies safely, creating a natural monopoly that persisted even after purpose-built ambulances became standard. As healthcare shifted and ambulance services spun off into private or municipal operations, funeral homes maintained pricing power and market control without meaningful competition, allowing them to charge thousands for basic transport that now costs far less to provide. This historical accident of infrastructure ownership—where a death-care business captured emergency care—explains why the U.S. ambulance system remains fragmented, expensive, and resistant to reform compared to other developed nations with centralized public services.