Ambulances start charging extra for the obese Transporting heavy people can cost more than double I have no problem with EMS units charging more to transport obese patients. They spend a small fortune to get an ambulance retrofitted to move those lard asses. It has to be recouped some how. It's ridiculous that we have to adapt everything because they can't stop eating. I mean seriously, when you get to be 400 lbs. doesn't a bell go off in your head?