In Minnesota they call it "The Rule Of '69"
1969is when legislation took ambulance services out of funeral homes. Funeral directors were the only people with vehicles and equipment to handle the injured and sick (and dead).
I actually resigned as an EMT and instructor 6 months after taking over the funeral home. Picture this: You are in your mid 70's, you wake up at 5am feeling nauseous, soon chest pains start, your wife calls the ambulace, and you recognize the first two responders through the door - A very well known local pastor and the town undertaker. I could cause the kind of fear and concern I saw in that mman's eyes or heard in his words, "I'm not that bad!"