Competing helicopters can provide airlift services just as well as state-subsidized SouthSTAR. But state health officials must manage what could be a free-for-all.
For decades, South Jersey listeners to emergency radio bands heard a dispatcher announce that "SouthSTAR," a medical evacuation helicopter, was on the way to a crash scene.
The comforting words meant that a critically injured person would be airlifted to the nearest trauma center or other specialized hospital as quickly as humanly possible.
But, after 28 years and 25,000 flights, SouthSTAR flies no more. SouthSTAR owner Virtua Health grounded it July 1, and did not reapply for state funding, claiming that competition had made the service unsustainable.
The decision means the end of state-subsidized MedEvac service in South Jersey. Since the New Jersey State Police provided its pilots, SouthSTAR's demise also removes an "official" stamp from local airlift services.
Any of a half-dozen medical choppers that are privately owned or run by other hospitals is likely to get most victims to needed care just as quickly. The best-known one is PennSTAR, which is associated with the University of Pennsylvania system. Another service, AirTwo, is part of Cooper University Hospital, which houses the Level 1 trauma center that is the destination for many flights. Like SouthSTAR, there are qualified paramedics aboard these choppers.
It's also difficult to oppose a recent state law dictating that the closest chopper -- it wasn't always SouthSTAR -- should respond to an incident. Virtua gives this change as another reason it mothballed its own service.
So, why does its grounding matter? For a couple of reasons that state health policy makers need to keep an eye on.
First, there's the charges. A $22 million annual subsidy allowed SouthSTAR (as well as NorthSTAR in northern New Jersey) to avoid any billing for flights. A $3 surcharge on state motor vehicle registration has provided money for both copters, but no service has applied for the grant to replace SouthSTAR.
Apparently, MedEvac billing will now be the same as for many of New Jersey's ground-based EMS units: They'll take whatever money they can get from a patient's health insurance. EMS services (the non-profit ones, anyway) usually vow not to bill patients directly. But that's not always the case. Third-party billing companies hired by the ambulance corps have been known to dun old ladies aggressively for thousands of dollars. Nationally, MedEvac services have billed patients up to $40,000.
With SouthSTAR gone, the state Department of Health must ensure that private billing doesn't get out of hand. The department should also answer why South Jersey residents must keep paying the $3 surcharge if subsidized service is no longer available to them.
There's an additional geography question. We expect any "scene" in Cherry Hill, Mount Laurel or Washington Township will see a non-SouthSTAR helicopter promptly. Can the same be said for interior Cape May County?
PennSTAR officials, for example, say they are "working closely" with other services to maintain SouthSTAR's former coverage. That doesn't sound like a firm commitment. State officials need to get one.
Send a letter to the editor of South Jersey Times at sjletters@njadvancemedia.com