Paratransit is scheduled and routed transportation services using vans or buses that serve people who are unable to drive, which often is the elderly or people with disabilities. This can have many ethical issues that come along with it. In some states, you have to be on Medicaid to use paratransit, this can bring up many issues because not everyone with a disability is on Medicaid. In Reno, it isn’t based on income, it is based on eligibility. The issue with that is there are also minor disabilities, such as slow reaction time or moderate visual impairment, and those affected may not be eligible for paratransit, even though it is not safe for them to drive. In these situations, it leaves them much fewer options which is not ethical or fair to the people in these situations.
Another issue regarding ethics is that many who are eligible for transport do not live within the range that the paratransit vehicles cover. This is troubling, because many people who would be willing to take advantage of paratransit are not able to due to the simple fact that they live within the route of a paratransit vehicle. This can be an especially prominent issue in rural areas, where those in need of paratransit may not be able to receive transportation. And if these people are not eligible for paratransit, then how are they expected to travel comfortably and safely to the destinations they need to got to? This is an important question that needs to be addressed. Another big issue involves wait times for a ride from a paratransit vehicle. If a patient needing a ride to the doctor’s office schedules an appointment in advance, then they should, in theory, arrive at the appointment on time. But what if the patient must wait for an extended period of time before they can receive a ride back home? This could lead to serious ethical issues. Regardless of insurance type, disability, or location of residency, everyone who needs paratransit should be eligible to receive it.