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An ambulance is a truck, and handles like one, they won’t be going as fast as a car on a two-lane mountain road - it isn’t possible to keep it on the road with perfect driving at speeds a small car can go. (an ambulance could be made smaller, but that is at the expensive of equipment they have inside so not a great compromise.)
An Ambulance is expensive anywhere in the world. The only question is how do you hide the expensive. Most of the cost is having several vehicle with trained personal sitting around doing nothing just waiting for someone in need. If there is ever a time when there is one vehicle not ready to go but doing nothing you don’t have enough service for a potential worse disaster. Of course that means there is lots of room to hide the costs if you don’t want to tell the truth - which many do not.