not funny

It's the american medical aid system.

That was kind of how the Roman fire brigades were. "The first Roman fire brigade was created by Marcus Licinius Crassus. He took advantage of the fact that Rome had no firefighters. Crassus creating his own brigade of 500 firefighters who rushed to burning buildings at the first cry for help. Upon arriving at the fire, the firefighters did nothing while their Crassus bargained over the price of their services with the property owner. If Crassus could not negotiate a satisfactory price, the firefighters simply let the structure burn to the ground."
Citation: https://www.firefighterfoundation.org.uk/history/

That's how it worked back in the early days. If you didn't have the fire mark from the insurance company, they would stand and watch your house/business burn down.

FAKE ! reverse video