My wife has epilepsy. She has a medical alert bracelet for it. If she has a seizure in public, she doesn’t need an ambulance ride unless she hurts herself or is actively seizing for more than 5 minutes. But that won’t stop some well-intentioned bystander from saddling her with a $5000 ambulance bill while she’s unconscious. Because a seizure leaves you confused and disoriented for ~45-60 minutes afterwards.

So even if her seizure only lasts 2-3 minutes, she’ll be out of it for a while afterwards. And EMTs can 100% use her disorientation to justify throwing her in the back of the truck, even though she doesn’t need it and the hospital won’t do anything for her. But that won’t stop them from billing for the ambulance ride anyways.