The transportation brokerage model is placing unsustainable pressure on high-quality providers, threatening the reliability patients depend on to access care. As reimbursement falls below the true cost of safe, clinically appropriate service, the system risks losing experienced providers — shifting demand to under-resourced operators and increasing the likelihood of missed appointments, delayed care, and poorer outcomes. Sustainable access requires sustainable economics.

When all else fails, it’s still people — and service — that keep things real and keep things moving.