What happened
Blinkit Ambulance, the quick-response ambulance service from Eternal (the company behind Zomato and Blinkit), has been free since it started. On 5 November, Eternal founder Deepinder Goyal announced a change on X:
- In about two years, the service has handled roughly 42,000 cases, of which about 20,000 were emergencies. None were charged.
- A growing share of bookings were routine check-ups, hospital visits and hospital-to-home transfers that a cab could have handled.
- From now on, emergency trips stay free. Non-emergency trips cost ₹2,500, charged after the trip, which he says is broadly what private ambulances charge.
- The money goes to the Eternal Foundation, which runs the ambulances.
- The plan is to reach all major Indian cities in two to four years. Goyal named trained paramedics as the biggest bottleneck.
His one-line summary: “Emergency transfers - free, as always.” The aim is to cut non-emergency use, not to raise money. That makes it a clean product case about pricing as a way to manage demand.
The case
You're the product manager for a free ambulance service that reaches patients in about ten minutes in Indian cities. More than half your trips turn out not to be emergencies. Should you start charging for them? If so, how would you design it, and how would you know it worked?
1Clarify
- Are emergencies actually waiting today? If response times are fine, the problem is cost, not capacity, and the fix may differ.
- Who decides what counts as an emergency, and when? Charging after the trip means the crew decides. The patient decides whether to call before then.
- What's the goal: fewer routine bookings, or revenue? Here it's stated as fewer bookings, which changes how you judge the price.
- Where else can routine patients go? If a cab or private patient transport works for them, a charge nudges them there without leaving them stuck.
2Structure
- Demand: who books, and why. Real emergencies and routine trips behave differently.
- Supply: ambulances and trained paramedics. These are the scarce part.
- The rule: how a trip is classified, priced and billed, and how disputes are handled.
- Trust: how patients, families and the public read a health service that now sends bills.
3Analyse
Size the problem from the numbers given
- About 42,000 − 20,000 = 22,000 non-emergency trips in two years. That's about 52% of all trips (22,000 ÷ 42,000).
- Per year, that's about 11,000 routine trips, or roughly 30 a day (11,000 ÷ 365).
Now an assumption: say each trip keeps an ambulance and its crew busy for about 1.5 hours, counting the drive, the handover and getting ready again. Then routine trips use about 11,000 × 1.5 = 16,500 ambulance-hours a year. That's about 45 hours a day, or nearly two ambulances doing nothing else around the clock.
What the charge could free up
Nobody knows yet how many people will still book at ₹2,500. So test a few drops in routine bookings:
Trip counts from Goyal's post. The 1.5-hour trip length and the drop rates are assumptions for the case.
Look at the money too. At a 70% drop, about 3,300 routine trips a year still happen. That brings in 3,300 × ₹2,500 = about ₹82.5 lakh for the foundation. Useful, but small. The real win is the hours freed for emergencies.
Is ₹2,500 the right price?
The price only has to do one job: make a cab the obvious choice for a routine trip. Assume a cab across a big city costs ₹300 to ₹500. Then ₹2,500 is about five to eight times the cab fare (2,500 ÷ 500 = 5; 2,500 ÷ 300 ≈ 8.3). That's a strong nudge.
Set it too low, at say ₹500, and the ambulance becomes a premium cab with a stretcher, so routine demand may not fall at all. Set it far higher and you add little extra nudge while making the bill look like a penalty. Pegging it to private ambulance rates, as Goyal did, is easy to explain and hard to call unfair.
The two ways the rule can go wrong
| It was an emergency | It wasn't an emergency | |
|---|---|---|
| Patient books | Correct: free trip | Correct: pays ₹2,500 |
| Patient doesn't book | Mistake: a sick person waits, fearing a bill | Correct: takes a cab instead |
The top-left box is why the charge comes after the trip: the patient doesn't have to judge their own emergency. The worst mistake is the bottom-left box, and you can't see it in booking data, because those people never call.
4Recommend
I'd keep the charge for routine trips, with clear guardrails: the crew classifies each trip, any doubt goes in the patient's favour, and the app says plainly before booking that emergencies are always free.
Over half the trips are routine, which ties up roughly two ambulances full-time on my assumptions. Paramedics are the hardest thing to scale, so their time should go to emergencies. And ₹2,500 is about what private ambulances charge, so routine patients aren't being overcharged.
The risk is that someone in a real emergency hesitates. I'd watch emergency bookings every week. If they drop, I'd make the “emergencies are free” message louder before changing the price.