i don't disagree with you on the financial aspects you quoted. Look at your amioderon vs lidocaine and how ACLS favored one over the other due to funding issues, or the resources that it takes when I call into the hospital and advise that I'm bringing in a cpr in progress.. I speak from my medical experience as well. If certain types of "code" shouldn't be transported to the hospital that needs to be decided by the local protocol set forth by the local medical director. Not a blanket statement saying that you only have a 0-1% survivability post out of hospital cpr.( haven't seen that study) if we want to talk health care issues that's a much bigger problem. I think the pt that gets txp to the emergency room because they can't sleep, toe hurts is more of the system impact problem. My main point is I don't want someone to think " na this cpr won't help, I will pass on trying"