It seems likely that these increased fees reflect increased real costs for the city.

in late 2021 nyc ems employees agreed a new contract covering june 2018 - july 2022. The back pay for the new agreement’s raises gets paid out lump sum.

The point: The city quoted the net cost of that agreement for fy24 as $73.7 million. The post article we’re commenting on says the new fees will raise ~$16 million in fy24. So even with raised fees we’re still $57 million short of covering our new labor costs.

And remember, now they’re out of contract again, so you can already begin factoring in the eventual raise they’ll be getting with back pay to july 2022.

Beyond that ambulances themselves have been in drastic shortage, which probably increases our maintenance costs substantially and increases the per unit cost of any ambulances we are able to buy.