I take issue with your seemingly glib dismissal of the transfer of risk to rideshare drivers - Ambulances exist for medical transport, and frankly should be used in most cases, especially in a medical transport setting. The core problem lies with the healthcare system and the pricing of ambulance services, and not necessarily with the decision to use an ambulance per se.

The law doesn’t say if you have a broken foot you have to take an ambulance to get treated at the ER.

State law regulates drivers, medical transport is a subsection and medical transport is further broken down into emergency transportation and non-emergency transportation. What the law says is you can’t just start offering medical transportation services to the public in exchange for money without complying with the law/regulations.

Further, as you might imagine doctors are regulated, and if you are treating a patient who needs to be transported to an ER for emergency services, the doctor should understand a Lyft/Uber isn’t the appropriate standard of care and is per se illegal under those facts. The doctor may have had his/her heart in the right place be not calling an abmbulance to reserve that for a hypothetical life/death patient, but it’s hard to argue this isn’t an emergency when your a doctor sending your patient to the ER, at which point emergency medical transportation laws/regulations apply.

You are missing the point. No ones forcing you to use the ambulance. The point is a medical professional is recommending a ride share instead of calling an ambulance. You can say no my crushes hand will be ok and I’ll take an Uber to avoid a bill but that’s not a medical persons choice it is yours.

You are still free to take a taxi. If the medical practitioner says "we are getting you an ambulance" you can refuse and make your own way to the hospital. That is entirely legal.

However, the medical practitioner themselves cannot tell you to take an Uber to the hospital. Which is sensible.