[pkoiralap]

While it is true that guides and business owners are always looking for opportunities to earn extra cash, the reporting is a tiny bit off here.

Start of AMS like symptoms can easily be mistaken for walking fatigue and dehydration. It is easier to identify if you are at rest, but during the trek that is seldom the case. So when you actually start realizing something is wrong, you already are at an elevated risk. The only thing that works in these cases is to descend and as fast as possible at that.

Considering the fact that AMS will absolutely and a 100% kill you if you play around with it, guides presenting trekkers with an option of helicopter rescue is not that bad, at least if you look at the worst that can happen.