Private ambulance operators in Singapore are weighing fuel surcharges as diesel prices surge by 70%, driven by war in the Middle East.

Several licensed ambulance providers report that diesel costs have spiked since the conflict began in late February, with pump prices hitting roughly S$4.50 per liter.

Lentor Ambulance has announced a surcharge starting April 1, though specifics remain undisclosed. Others, like Medivac Emergency Ambulance Service, are absorbing costs for now but warn that prolonged inflation may force their hand.

First Ambulance is considering adding S$7 to S$15 per trip, while Royal Ambulance may levy a 5-10% fee depending on trip type. Operators say cross-border transfers to Malaysia have been hit hardest, with costs up 60% for some.

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More patients on life support are turning to commercial airlines over air ambulances due to rising flight costs.

Industry leaders note that diesel prices have accelerated interest in electric vehicles, but long charging times and operational demands make EVs impractical for emergency medical transport.

Operators are urged to adopt fuel-efficient driving and stricter fee enforcement, but many say government support, such as MediSave access or subsidies, could be crucial.