Uber lies about the availability of all vehicles, I think! I live in a town where there are no Uber drivers, but if you open up the app it will show 3 available with times and prices and even let you book one! Of course it doesn't exist and they will never show up. I am not sure why they do this other then to look like they have coverage to shareholders or something.
I know there are drivers who basically sit at home and check the current rates and when it's "worth it" to them they walk out and jump in the car and do a few rides.
That wouldn't happen if people were looking in the app seeing no drivers and not putting in that they needed a ride.
> Therefore the court ordered that the Commission to propose a comprehensive plan that provides meaningful access to taxi services for passengers using wheelchairs. The plan must include targeted goals and standards as well as anticipated measurable results. Furthermore, until such a plan was proposed and approved by the court, all new taxi medallions sold or new street hail livery licenses or permits issued by the Commission must be for wheelchair accessible vehicles.
Some additional information - https://drhandicap.com/insights/can-taxis-refuse-service-bas...
While this is more expensive for the taxi company to have ADA vehicles, that cost is spread out across the entirety of the customer base.
The difficulty comes with ride share that aren't licensed and displace taxi services resulting in difficulty spreading out the cost across all taxi rides... and that the ride share drivers (and companies) don't provide sufficient coverage is compared to the requirement for licensed taxis.
Wouldnt it make sense for Uber to subsidize the ADA compliant drivers for their extra costs (or reduced yield) and then for Uber to spread that cost across their entire service?
With Uber offering poor service for wheelchairs and similar, individuals needing those services remain using traditional taxis. Meanwhile, the regular riders (the bulk of the profits for a company) switch to Uber for whatever reason. This results in that the additional costs for handling riders that need the extra assistance are not borne by the unlicensed companies that are not providing the ADA services that the licensed companies are required to.
If one was to go with a "{A} should subsidize {B} for ADA rides" this would be "Uber should subsidize taxi companies" for the increased proportion of wheelchair accessible vans and similar that the taxi companies are required to maintain.
As it is, Uber isn't spreading any of the cost of ADA rides amongst their customers or drivers because (A) Uber doesn't have a sufficient set of vehicles available to address ADA and (B) Uber drivers are discriminating and not picking up passengers that have needs covered under the ADA.
American Medical Resource Institute guidance on discharges - https://www.aclsonline.us/blog/what-to-do-when-theres-no-one...
> You did your part and got your patient through surgery with flying colors. But, uh-oh, the ride your patient was expecting to get home is a no-show. What should your ASC do?
> Well, according to the Centers for Medicare and Medicaid Services, your ASC has a legal obligation to only discharge patients to a responsible adult when they have been under the influence of sedation.
> Unfortunately, now that Uber and Lyft are such convenient options for transportation, many patients think they can simply hop in a rideshare vehicle and that’s the same thing as being discharged to a caring family member or friend.
> However, the law in many states is still unclear on whether a rideshare driver counts as a “responsible adult” who is actually taking responsibility for the patient’s care just by stepping into the vehicle. In fact, in a recent Outpatient Surgery Magazine poll, 69 percent of surgical facilities said they never discharge an unaccompanied patient to take an Uber, Lyft or taxi home.
This has been an issue for me in the past when I was sedated for a root canal. I had my brother's girlfriend's father pick me up from the dentist.
As to walking out? I was in absolutely no shape to walk out.
If someone is still insistent on leaving:
> If you discover that your patient doesn’t have a responsible adult to take them home until after the procedure is complete and they’re dressed and insisting to go home on their own, your best option is to document as much as possible. Insist that the patient sign an AMA (against medical advice) form. Then write up the details of the patient’s non-compliance in an incident report in their medical record. Also, let their surgeon know.
The effect of the above is: "They're not allowed to forcibly eject you if doing so would make you unsafe"
For example, I was allowed to stay an extra night because I live alone and needed to coordinate a helper to safely go up my stairs.
There's a very specific set of reasons why they can hold you defined separately from this.
tl;dr if they do eject you into an unsafe envious they face liability, but not so much liability that they need to imprison you...
The title is "Discharge After Sedation or Anesthesia on the Day of the Procedure: Patient Transportation With or Without a Responsible Adult" from the American Association of Nurse Anesthesiology
The checklist starts out with:
> Review and comply with federal, state, and local law and regulations as well as facility accreditation requirements
> Engage the facility’s legal counsel, risk manager and/or similar role to review and address liability and legal concerns.
There are significant liability risks for a hospital to discharge a person who has been sedated to anyone other than an adult who has the obligation to give care to the person if needed.
This includes things like discharging a person who has been sedated to a ride share who then robs them (you are free to imagine worse situations). As this has happened with intoxicated people being driven home from a bar, hospitals are rightly concerned that if they discharge someone to a ride share, they may be incurring significant liability of their own.
Going back to my sedation dentistry experiences, the person who is going to take me home has to be there with me at the start while I am not yet sedated and there were a number of forms that I filled out when I became a patient of theirs identifying the people who could drive me.
The laws around the requirements and liability for a medical facility to discharge person who has been sedated do not give much wiggle room for the hospital to get out of that liability.