[FireBeyond]

As someone who is a paramedic, we will absolutely listen to you if you say you want to go to hospital X, not Y.

If you're unable, we'll take you to the one that best is equipped to deal with your issue.

HOWEVER... the insurer. If you're talking about two hospitals in the same town or part of town, no big deal. If you want to go to the hospital 15 minutes beyond that? Your insurer will deny the ambulance bill. Their argument was that "if you were sick enough to require an ambulance, you should have been transported to the closest facility, stabilized, and then transferred to your preferred facility" versus taking a longer ambulance ride.