I always find this intersection of the auto and cycling worlds so strange. If he didn't have a car, he wouldn't have auto insurance, so I guess his health insurance would be covering the initial tab, and then suing the ambulance company to get their money back?
If you get a moving violation on your bicycle and show a driver's license to the police, it seems you get points in your license, but if you don't have a driver's license, you don't?