Comment by abigail95

I won't give you a new hypothetical, just complete the comparison.

It's true an EMS call might reduce QALY (quality adjusted life years). It's also true that taking a train full of passengers somewhere they don't want to go also reduces QALY.

Iterate this enough and DB changes their policy. Now we have a new equilibrium. The full game theory of this isn't as simple as wasted doctor time = bad.