Inside Nepal’s fake rescue racket

Investigations reveal a vast network of trekking firms, helicopter operators, hospitals and agents staging fake evacuations, fabricating medical records and inflating bills to siphon millions from global insurers.

The Kathmandu Post

“Wasn’t the system supposed to be fixed?“

Why would it be fixed? Insurance companies aren’t willing to invest in oversight, and everyone else profit, there is no incentive for changing the system.

If the cost to an individual insurance company is low enough (in the few millions) and they're not really at risk of it suddenly exploding, and the cost for them to mitigate is also in the millions (or risks killing a customer), they're unlikely to improve. Fight Club, but the other way around.

However, if they all gang up together they might do something - but that can cause other issues (a local insurer becomes the only insurance available, etc).

Nepal is a low income and high corruption country, where the government and formal business structures are unstable enough that 'tipping' becomes common even for government investigators...

It's basically a way for everyone to get more tourists dollars, which is one of Nepals primary exports.

Scamming bored rich people is one of the more victimless crimes.
Idk they gave SBF 25 years for it.
Why don't they just charge [more] for a mountain license? A few thousand per hiker would probably be tolerated by people who view the hike as a lifetime achievement kind of thing.
I did the Everest base camp trek in late 2015, at that time it was quite common (saw it myself and heard about it) that people would do the trek up but to get down they would fake a leg/back injury or blame altitude sickness and the chopper from Kathmandu would come pick you up, as long as you had the right insurance.
I wonder how much a chopper ride would cost at "reasonable rates" (e.g, not the air ambulance but just a chopper).
Per person around $1500. Over 10k of you can’t fill the chopper.
I'm assuming less than the average ambulance ride in the USA
From personal experience it's about twice the cost of an ambulance ride from my house to the hospital. Air ambulances here are about 10 times as much.
Having something scheduled is cheaper than on-demand, too. You may even end up using the same equipment, but at a lower priority (it costs $200 or so to have an ambulance sit at your event, for example).

I can tell you exactly what it cost for me. I took the helicopter from Gorakshep, the highest/last town on the EBC trek, to Lukla, the crazy airport people call the most dangerous one in the world. For me, a 255 lbs / 115kg guy, 2 Nepalis that are each half my size, a pilot, and our not-that-heavy hiking gear was 2000 USD in October of 2024.

Pics/video: https://www.instagram.com/p/DBTpLGtydZW/

Michael Pope on Instagram: "Day 11 of EBC trek. Having accepted my limitations about trekking, riding on helicopter seemed like a fun backup plan. It also has the added bonus of removing a couple days of trekking down the mountain. The hike from Gorakshep to Lukla was scheduled to take 3 days; and the helicopter took us to Lukla is 20 minutes."

16 likes, 3 comments - devoutsalsa on October 19, 2024: "Day 11 of EBC trek. Having accepted my limitations about trekking, riding on helicopter seemed like a fun backup plan. It also has the added bonus of removing a couple days of trekking down the mountain. The hike from Gorakshep to Lukla was scheduled to take 3 days; and the helicopter took us to Lukla is 20 minutes.".

Instagram
Nothing beats good quality, freshly sourced, all natural ground truth data
probably mean 255 lb / 115kg
Yes, thanks for noticing. I fixed.

Surely the insurers would quickly become aware of this, I mean, there are people whose job it is to monitor all claims and adjust prices accordingly.

So while it might feel like the insurers were getting fleeced, it was almost certainly the insured who didn't get the copter ride.

> But none of that worked “The scam continued due to lax punitive action,”

It percolated up. It’s usually what happens with corruption. If lower levels are found out to have a lucrative scheme, the higher ups (auditors, police, legislators) make a big fuss about stumping it publicly, but behind the scenes go and ask for a cut.

> But guides and hotel staff ... tell them they are at risk of dying, that only immediate evacuation will save them.

I got Acute Mountain Sickness at just 11k feet. Headache, nausea, dizziness, fatigue. I passed out until hitting the ground woke me up. I was very disoriented and vulnerable. If someone had told me that I had to get to a hospital or I'd die they could have led me like a tame goat. And they could be right. If you have high-altitude cerebral or pulmonary edema it is life threatening.

A guide getting a kickback can make it a lot more likely just by cutting short the boring acclimatization time.

Ya that was a very serious situation for you. I knew when my dad was barely able to stand but insisted we hike the 1000ft back up to then get back down it was also serious. But when we got home I read how deadly altitude sickness is.

> The second method is more troubling. At altitudes above 3,000 metres, mild symptoms of altitude sickness are common. Blood oxygen saturation can drop, hands and feet tingle, headaches develop. In most cases, rest, hydration or a gradual descent is all that is needed. ...investigators found that Diamox (Acetazolamide) tablets, used to prevent altitude sickness, were administered alongside excessive water intake to induce the very symptoms that would justify a rescue call.

This doesnt sound accurate. I have trekked the Himalayas for over a decade - the risks of AMS are very real. Two people I have trekked with have died due to AMS on separate himalayan treks - both had trekked multiple times before, and were well aware of the risks. Both the fatalities were around 12000-14000 feet - much below the Everest Base Camp trek. When AMS hits, you need to descend - as fast as possible, with whatever means you have at your disposal. Otherwise you have unknowingly entered a Russian Roulette.

And Diamox is used as a preventative course for AMS - alongside excessive water intake - this is standard guidelines in all high altitude himalayan treks.

Nance (damn autocorrect) Bazaar which everyone in the Everest region passes through is a bit over 11K feet. 12-15K feet just isn’t that high in the scheme of things. Many peaks in the western US are in that range or more. Yes, minor headaches are pretty normal when acclimatizing. But anything more, you need to go down.

> 12-15K feet just isn’t that high in the scheme of things. Many peaks in the western US are in that range or more.

The highest peak in the contiguous United States is Mt. Whitney at ~14.5k feet

*Naamche Bazaar