Dad bought the funeral home in our snall town in '69, yup, he was also the local ambulance service.
Life or death call, you were dead. First aid kit and oxygen were all that was on board.
First you hoped someone ansered the phone. 2nd you hoped the old pos Caddy hearse started. Once in you were on your own until dad made it to the hospital.
Most calls, people were already gone.
Several years later we got a publically funded ambulance service 5 miles away. Dad was happier than a fly on fresh stink.
Then he was only bothered for transport of those that were already gone.
Ed