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Luke_A_Somers comments on Is a Purely Rational World a Technologically Advanced World? - Less Wrong Discussion
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I personally would have died at 20 without ambulance motorization, for instance, and I don't think I'm a 1 in 4000 outlier. Appendicitis doesn't always happen at a convenient time, nor is it always recognized promptly. Right there I'd guess we're talking over one in a thousand.
As for light rail, it does have costs. So do buses. The numbers I can find on buses put them ahead only wherever there is no existing rail system.
I would have been at least permanently brain-damaged, if not dead, without fast ambulances. Rapid response is the difference between recovering from a stroke and, well, not.