People also cited that fear of feeling embarrassed if their symptoms turned out to be a "false alarm", or a perception that they were not sick enough, was a deterrent to calling an ambulance. They also expressed a reluctance to "bother" physicians or EMS unless "really sick." The cost of health care or lack of insurance was not viewed as a barrier to seeking care in emergency situations. Many needed "permission" from others, such as their healthcare provider, spouse, or other family member to take rapid action (53).
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