This moron probably has never seen a modern ambulance. Probably in his/her country advanced emergency care amounts to driving up in a pickup truck and throwing the injured in he back like a sack of potatoes and driving them to the ER.
Advanced (in native country) implies;
1) a motorized vehicle
2) has 4 wheels (as opposed to a scooter or rickshaw)
3) it can reach speeds of 35mph or greater
4) there is a clinic within 250 miles
5) the driver is sober
6) doesn't make any stops along the way