[HN Gopher] Inside Nepal's Fake Rescue Racket
       ___________________________________________________________________
        
       Inside Nepal's Fake Rescue Racket
        
       Author : lode
       Score  : 240 points
       Date   : 2026-04-02 11:40 UTC (11 hours ago)
        
 (HTM) web link (kathmandupost.com)
 (TXT) w3m dump (kathmandupost.com)
        
       | tomaskafka wrote:
       | "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.
        
         | bombcar wrote:
         | 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).
        
         | datadrivenangel wrote:
         | 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.
        
           | expedition32 wrote:
           | Scamming bored rich people is one of the more victimless
           | crimes.
        
             | guzfip wrote:
             | Idk they gave SBF 25 years for it.
        
             | tt24 wrote:
             | How can it possibly be defined as victimless
        
               | umanwizard wrote:
               | In my experience people use "victimless" to mean "the
               | victims are people I lack sympathy for".
        
           | mikkupikku wrote:
           | 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.
        
             | tim333 wrote:
             | They do charge quite a lot for mountain climbing permits
             | but trekking is mostly just walking from village to village
             | along the usual paths the locals use.
        
         | linkjuice4all wrote:
         | Just include helicopter rides in the ticket. These aren't
         | adventures anymore - just "natural" theme parks for monied
         | elites that need talking points and social media posts flexing
         | their wealth. Does Six Flags charge your insurance for security
         | to drive you back to your car?
        
       | IAmBroom wrote:
       | "In at least one case cited in the investigation, baking powder
       | was mixed into food to make tourists physically unwell."
       | 
       | The only ill effect I can find from overconsumption is a "tingly
       | sensation on the tongue". Of course, that doesn't mean the
       | 'poisoner' wasn't ignorant of this, and genuinely did it trying
       | to make them sick. Or maybe they simply said, "If you feel your
       | tongue tingling, YOU ARE DYING!!!".
        
         | MontagFTB wrote:
         | Could it be a symptom of high altitude oxygen deprivation?
        
           | datadrivenangel wrote:
           | Yes, which is why it's easy to then convince people to
           | evacuate. People do die on Everest, including EBC treks from
           | altitude sickness alone, so severe symptoms usually lead to
           | taking the trekking back down the mountain.
        
         | ambicapter wrote:
         | I feel like "make physically unwell" here just means they'll
         | taste something gross, not realize it is the baking powder, and
         | treat the feeling as if something is wrong with their body. I
         | know mixing up baking soda and baking powder has made for some
         | pretty unpleasant tasting food for me.
        
         | ceejayoz wrote:
         | It's a leavener when you get it wet, so swallowing enough will
         | definitely feel like digestive upset from all the gas.
        
         | tokai wrote:
         | Baking powder is used by some athletes as it is shown to
         | enhance performance.[0] I find it more realistic that they are
         | adding it for that effect than making anyone unwell. As its not
         | really something that makes you ill.
         | 
         | [0] https://pmc.ncbi.nlm.nih.gov/articles/PMC8427947/
        
           | KaseKun wrote:
           | I saw a good yt video on this the other day, investigating
           | baking soda and athletics. https://youtu.be/Y_aTfQmqc5o
           | 
           | The creator certainly got pretty crook from ingesting baking
           | soda
        
       | skilled wrote:
       | 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.
        
         | bombcar wrote:
         | I wonder how much a chopper ride would cost at "reasonable
         | rates" (e.g, not the air ambulance but just a chopper).
        
           | doikor wrote:
           | Per person around $1500. Over 10k of you can't fill the
           | chopper.
        
           | paxys wrote:
           | I'm assuming less than the average ambulance ride in the USA
        
             | throwway120385 wrote:
             | 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.
        
               | bombcar wrote:
               | 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).
        
             | hermitcrab wrote:
             | Yes, but it might be in some ancient Russian helicopter of
             | unknown provenance.
        
           | MikeNotThePope wrote:
           | 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/
        
             | AndrewKemendo wrote:
             | Nothing beats good quality, freshly sourced, all natural
             | ground truth data
        
             | ddlatham wrote:
             | probably mean 255 lb / 115kg
        
               | MikeNotThePope wrote:
               | Yes, thanks for noticing. I fixed.
        
         | WarmWash wrote:
         | 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.
        
           | bell-cot wrote:
           | Not an insurance underwriter - but wouldn't the obvious
           | counter-move be to exclude coverage for medical
           | assistance/transportation when you're climbing mountains
           | overseas, spelunking, within X miles of the north or south
           | pole, traveling in a submarine, or have otherwise ventured
           | into "high-dollar extraction" territory?
        
             | trillic wrote:
             | Priced into the premium. It's not your run of the mill
             | health insurance.
        
               | ghaff wrote:
               | When I actually climbed one of the 6K meter peaks I had
               | to get some special alpine insurance. Don't remember the
               | details. Was a long time ago.
        
             | advisedwang wrote:
             | Extreme activities are excluded from standard travel
             | insurance packages. This is happening with insurance
             | specifically for these activities.
        
             | fwipsy wrote:
             | The obvious counter move is just to charge higher premiums.
             | It works whether the crises are real or fabricated. The
             | real losers are not the insurance companies, but other
             | tourists overpaying on their premiums.
        
             | Ectiseethe wrote:
             | I went to Nepal two years ago. The standard insurance of my
             | Mastercard Gold specifically excluded medical
             | assistance/transportation for acute altitude sickness from
             | the coverage (and rescue operators are reluctant to
             | intervene without proof of proper insurance coverage).
             | 
             | As a precaution (having read about it on forums) I had
             | taken an additional insurance from a French shop
             | specialized in hiking and mountaineering (le Vieux Campeur)
             | to cover more events.
             | 
             | Good thing I did because I ended up having to be evacuated
             | for something that was initially considered as acute
             | altitude sickness and turned out to be a lot more life
             | threatening once in the hospital.
        
             | razakel wrote:
             | Normal travel insurance doesn't cover high-risk activities
             | like mountaineering. You have to buy a specialist policy.
        
             | jltsiren wrote:
             | In my experience, it's only the cheap insurance policies
             | bundled with credit cards and various memberships that
             | consider high-altitude hiking a high-risk activity. Any
             | travel insurance you buy as individual should cover it. If
             | there is an altitude limit, it's usually 6000 m, so Everest
             | Base Camp and Kilimanjaro would be covered but Aconcagua
             | wouldn't. And any actual mountaineering would also be high-
             | risk, regardless of altitude.
        
           | stronglikedan wrote:
           | The people doing that could probably afford the copter ride
           | outright, so they can afford the "right" insurance that
           | wouldn't ask any questions. The uber-wealthy live under a
           | completely different system than the average schmuck like me.
        
       | MikeNotThePope wrote:
       | To be honest I'm surprised insurance is offered at all. I did the
       | EBC trek a couple years ago. The temptation to take a helicopter
       | down was real & I didn't have insurance.
        
         | datadrivenangel wrote:
         | Rescue insurance was required by the trekking company when I
         | did EBC a few years back.
        
       | givemeethekeys wrote:
       | Sounds pretty bad until you look at the numbers.
        
         | RajT88 wrote:
         | And then it looks very bad?
         | 
         | The amount of each incident is fairly low, and probably goes a
         | long way to funding the local community.
         | 
         | But the number of incidents is nuts - well over 1000 per year.
        
           | givemeethekeys wrote:
           | "Around 100,000 people hike to Everest Base Camp every year"
           | 
           | I have no idea how many of those people have to buy
           | insurance.
           | 
           | Source: https://everestcamptrek.com/how-many-people-hike-to-
           | everest-...
        
       | miltonlost wrote:
       | Stop pointlessly climbing mountains and ruining the natural
       | environment. Climbing Mt Everest at this point is just a sign of
       | conspicuous consumption and not any achievement other than
       | financial. Would have been better to spend your money lighting it
       | on fire.
        
         | datadrivenangel wrote:
         | This is mostly trekking related evacuation, which is far easy
         | and lower impact. EBC is about 100x cheaper overall per person
         | than summit attempts, if not 500x.
         | 
         | And Sagarmartha national park and the whole valley up to EBC is
         | an amazingly beautiful part of the world.
        
         | jopython wrote:
         | The "Everest Economy" is worth around $500 million annually.
        
           | tokai wrote:
           | Thats surprisingly low.
        
         | simojo wrote:
         | to be fair, the approach is usually covered in snowpack for
         | most of the year, so impact is minimal by foot traffic.
         | However, most of the protection is fixed, which could have
         | lasting effects if something were to rip out.
         | 
         | For other mountains with dry summits in the summers, I would
         | agree: the effects of erosion are frightening
        
           | throwway120385 wrote:
           | Do people still leave oxygen bottles up there? And what do
           | they do with all of their excrement?
           | 
           | The saying is that the snowpack gives back everything you put
           | in it.
        
       | rdtsc wrote:
       | > 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.
        
       | delichon wrote:
       | > 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.
        
         | meroes wrote:
         | 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.
        
       | badgersnake wrote:
       | Unnecessary CT scans mean unnecessary radiation exposure. This is
       | a direct harm to the "patient".
        
         | DiggyJohnson wrote:
         | Seems minimal though in the grand scheme of things
        
       | psadri wrote:
       | I did the EBC trek last year and at ~4400 meters, we heard about
       | a local Nepalese woman dying from complications of AMS in the
       | local clinic. There might be fishy things going on with the
       | rescues, but the health risks are real.
        
       | sonink wrote:
       | > 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.
        
         | ghaff wrote:
         | Namche (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.
        
           | shadow28 wrote:
           | > 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
        
             | kjkjadksj wrote:
             | I went from sea level to 11k feet in the same day many
             | times before. I would say the altitude effect is there but
             | not as much as you might expect. A little quicker to be out
             | of breath a little longer to recover it. Not sure what it
             | is like at higher elevations or greater daily altitude
             | delta.
        
               | prasadjoglekar wrote:
               | Very much dependent on age, rest and general
               | conditioning. I went from sea level to 14K at Pikes peak
               | in 1 day and it was quite uncomfortable. I managed, but
               | folks who lived in Denver with lower physical fitness
               | levels than me, did better.
        
               | linsomniac wrote:
               | Agreed, we live at ~5K and went up to Pikes Peak; my wife
               | and I had no problems (beyond minor headache), but my
               | son's lips were turning blue and he was feeling pretty
               | bad.
               | 
               | Other amusing things from that trip: we went up there the
               | 3rd of July, and it snowed. We charged the car in
               | Colorado Springs before we left, got up to the peak with
               | 36% battery remaining. My wife worried we wouldn't be
               | able to make it back. Got back to CS with ~70% battery
               | left.
        
               | quickthrowman wrote:
               | I went from ~500 ft above sea level (Palm Springs) up to
               | 8,500 feet above sea level (San Jacinto Peak) in less
               | than an hour via the aeria tram a couple months ago and
               | it was very noticeable, my walking speed fell by a third
               | and I was breathing a lot harder than I usually do.
        
               | nonameiguess wrote:
               | I guess fitness makes a difference from what these other
               | comments are saying. My ex-wife and I lived in Long Beach
               | (which is obviously sea level) when we were in ROTC and
               | pretty regularly took day trips out to San Gogornio and
               | walked to the summit in about five hours, which is
               | ~11,500ft. Not once did that have any noticeable effect,
               | but we were both pretty serious runners back in the day
               | trying to become Army officers. On the other hand, she
               | tried to summit Aconcagua during a spring break and
               | couldn't make it due to altitude sickness. I've never
               | been higher than Mt. Whitney, personally.
               | 
               | Even if you don't feel it, the altitude still makes a
               | difference, though. I recall doing two-a-day hell weeks
               | at Big Bear at the end of summer cross-country training
               | in high school and there was a 5k up there at the end of
               | that week. We all got worse times than typical at sea
               | level, and somewhat amusingly, I recall a high school
               | senior from Rim of the World High School (who lived up
               | there) getting 2nd place overall the first year I ever
               | competed in that race, beating way more seasoned
               | competitors just because he was used to the altitude.
               | 
               | It works in reverse, too. There was an officer in my
               | Armor Basic Officer Course from Colorado who gave himself
               | rhabdo during the two-mile test the first week we in-
               | processed, apparently because he was so used to altitude
               | that he hadn't quite acclimated to Fort Knox atmosphere.
        
               | hermitcrab wrote:
               | >I guess fitness makes a difference
               | 
               | Not really. Altitude sickness seems quite random in who
               | it effects worst. I trekked to the top of Mera Peak
               | (~21,000 ft) many years ago. 3 of the fittest people in
               | our party got altitude sickness and didn't make it to the
               | peak.
        
               | jltsiren wrote:
               | If anything, fitness makes you more susceptible to
               | altitude sickness. It's not an inherent effect, but
               | rather your habits driving you to do things you
               | shouldn't. You are supposed to take things lazy and slow
               | when acclimatizing to high altitude. But if you're fit,
               | you may be used to moving too fast and pushing yourself
               | too hard. You may not recover from exertion as quickly as
               | you expect, and you may end up climbing higher every day
               | than you should.
               | 
               | Altitude sickness typically starts after 12-24 hours. If
               | you climb high and come back down in the same day, there
               | is usually not enough time for the symptoms to start. And
               | 11,500ft is not that high altitude. People routinely fly
               | to Cuzco, La Paz, Lhasa, and Leh from sea level, and most
               | of them suffer no serious ill effects.
        
             | tristor wrote:
             | I think you mean continental United States, as Alaska and
             | Hawaii are excluded, where-as Alaska is contiguous with the
             | United States, but requires crossing through parts of
             | Canada to reach by land. That said, yes Whitney is the
             | highest in the continental US, and McKinley in Alaska is
             | the highest in the US (and contiguous US) and is also the
             | tallest in the world from base to peak and the third most
             | prominent peak in the world.
        
               | shadow28 wrote:
               | It's exactly the other way around actually, continental
               | US would include Alaska since it's still on the North
               | American continent whereas contiguous US excludes both
               | Hawaii and Alaska. Contiguous US refers to the lower 48
               | states.
        
               | coldtea wrote:
               | Continental "could" include Alaska (it's even in the
               | official U.S. Board on Geographic Names definition), but
               | in practice when "continental US" are casually mentioned,
               | it's rarely implied as included. Most use it as
               | interchangeable with contiguous.
        
               | cwmoore wrote:
               | Contiguous states is the correct term.
               | 
               | "Continental" would be in Europe.
        
               | coldtea wrote:
               | > _where-as Alaska is contiguous with the United States,
               | but requires crossing through parts of Canada to reach by
               | land._
               | 
               | Contiguous means the 48 connected (contiguous) states. It
               | never includes Alaska.
               | 
               | And even though definitionally/officially continental
               | could include it (it's in the same continent), in common
               | use "continental US" is not meant to include Alaska
               | either.
        
               | umanwizard wrote:
               | That's like saying the US is contiguous with Japan, you
               | just have to cross through parts of the Pacific Ocean to
               | get there. Contiguous precisely means you don't have to
               | cross anything else to get there, it is connected.
        
             | kortilla wrote:
             | https://en.wikipedia.org/wiki/List_of_the_highest_major_sum
             | m...
             | 
             | Many peaks in the western US are in that range. Lots more
             | with several exceeding if you include Alaska in "the
             | western US".
        
             | IncreasePosts wrote:
             | There are 50+ peaks in Colorado higher than 14,000 ft and
             | 1000+ higher than 12000 ft
        
           | 698969 wrote:
           | *Naamche Bazaar
        
           | chimeracoder wrote:
           | > 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.
           | 
           | It's "not that high", but people frequently do get AMS at
           | those attitudes or even lower.
        
             | ghaff wrote:
             | I can't provide cites but I understand people have had
             | issues flying into Denver.
        
             | tim333 wrote:
             | There's a big difference between doing a day trip to those
             | altitudes which is normally ok, and sleeping that high
             | which causes problems if not acclimatised.
        
               | chimeracoder wrote:
               | > There's a big difference between doing a day trip to
               | those altitudes which is normally ok, and sleeping that
               | high which causes problems if not acclimatised.
               | 
               | I'm not sure what point you're trying to make. People
               | regularly experience AMS at the heights far below what OP
               | mentioned, whether on the day they arrive or on days 2-4,
               | and that's not even accounting for strenuous physical
               | activity.
        
           | gilesvangruisen wrote:
           | I've been to Nepal a few times and started feeling AMS
           | symptoms about 1-2 hours after arriving at our lodge in
           | Namche. Diamox kept me going great for the nxt few days on
           | our way to Tengboche where we maxed out about 13k feet,
           | besides the heli flight back to Lukla. Similar symptoms even
           | at a ski resort at 9k feet in the US. It's "not that high"
           | but plenty high to induce AMS.
        
         | embedding-shape wrote:
         | The very next sentence from that quote sounds a lot worse and
         | harder to explain away though:
         | 
         | > In at least one case cited in the investigation, baking
         | powder was mixed into food to make tourists physically unwell.
        
           | 698969 wrote:
           | In Nepal, my parents always warned me before eating at some
           | rest stops because they said the food was doctored with
           | baking soda to make you feel fuller, guess it was true after
           | all and not just an urban legend heh.
        
             | ihaveajob wrote:
             | I've heard the same from South Indian friends, so I guess
             | it's pretty widespread.
        
             | valarauko wrote:
             | I've sometimes used baking soda to accelerate softening of
             | beans, and I imagine the effect is more appreciable at
             | higher altitudes perhaps? Some of the usage of baking soda
             | could be innocent enough.
        
               | ChrisMarshallNY wrote:
               | Try using it on meat. Turns it into pink slurry.
        
               | papercrane wrote:
               | You're using too much! Its commonly used to improve meat
               | texture, especially in Chinese cuisine. It's called
               | "velveting".
        
               | torhorway wrote:
               | you're thinking of corn starch
        
               | Hikikomori wrote:
               | Both are used, for different reasons, but it's a pretty
               | loose term. Can also use enzymes or other alkaline
               | things. With or without a marinade. Pass through oil or
               | water, or just stir fry with a little extra oil.
        
               | MengerSponge wrote:
               | No reasonable person would be confused by use of baking
               | soda as an ingredient in cooked food (reasonable) vs the
               | addition of baking soda after cooking as an adulterant.
        
               | SketchySeaBeast wrote:
               | Did we discover a new diet hack?
        
               | scorpionfeet wrote:
               | A few thousand years ago:
               | 
               | https://en.wikipedia.org/wiki/Nixtamalization
        
               | scorpionfeet wrote:
               | Alkalinity softens the husk of legumes. Look up
               | nixtamalization. It's what the Aztecs invented.
        
             | scorpionfeet wrote:
             | Totally an urban legend. What do people think Alia seltzer
             | is made from? You know the thing you take to feel better
             | after eating too much?
        
               | streetfighter64 wrote:
               | "You" don't take antacid after eating unless "you" have
               | problems with your stomach acid or something.
               | Neutralizing your stomach acid isn't generally a smart
               | thing to do, because it's acidic for a reason (digesting
               | food). Some people even recommend not drinking to much
               | water with your meals because it dilutes your stomach
               | acid, though that might be overly cautious. Whether
               | adding baking soda to food makes you feel fuller I
               | wouldn't know, but it certainly won't make you "feel
               | better", unless you have some medical condition.
        
           | EA-3167 wrote:
           | An amount of soda sufficient to make you ill would be very
           | VERY detectable in food. Speaking as someone who makes their
           | own honeycomb toffee and soda bread, it's really easy to mess
           | up the ratios and end up with an excess that tastes nasty,
           | and that excess is pretty small.
           | 
           | A small amount won't make a different, it'll just stimulate a
           | bit more H+ production from your stomach's proton pumps.
           | 
           | Edit: The article I read claims the scam involved baking
           | _powder_ , which makes even less sense given that it's even
           | more noticeable, bitter and metallic.
        
         | t0mas88 wrote:
         | Were there other issues involved in the fatalities around
         | 12-14k ft? Freezing etc?
         | 
         | In aviation rules you can have passengers at 12k ft without
         | oxygen for an unlimited amount of time. The crew needs to use
         | oxygen if you're between 10k and 13k for more than 30 minutes.
         | Above 13k both crew and passengers must use oxygen immediately
         | (EASA rules, FAA is different).
         | 
         | So they seem to consider 12k to not be dangerous to passengers.
        
           | simplyluke wrote:
           | Speaking from experience in the mountains: 12k at rest and
           | 12k under subsequent days of exercise produce very different
           | responses. What might be a mild headache sitting in the back
           | of a plane could be a pretty distinct AMS case lugging a pack
           | up and down mountains.
        
       | pRusya wrote:
       | A story older than Nepal (misleading tourists). And an article
       | from 6 months ago shows how the govt treats its own people with
       | more examples in HN discussion.
       | https://news.ycombinator.com/item?id=45166972
       | 
       | What is less discussed is what happened to people who were able
       | to identify the scam and refused to let it happen.
        
         | kaudinya wrote:
         | Since then, the govt has been overthrown by a Gen Z protest. An
         | interim govt led the national elections and a young party led
         | by young leaders have won 2/3 majority in the parliament.
         | 
         | The new parliament is a radical departure in many ways. Its
         | very hollywoodish if you happen to read the development.
        
       | alsetmusic wrote:
       | Holy crap, why are they using anything more than pine for
       | something of such high stakes?
        
       | tristor wrote:
       | As someone who has done quite a few 14ers in Colorado, many of
       | which I wasn't in the greatest shape for, most people do not get
       | AMS especially below 12k, and therefore the numbers in this
       | article definitely do look like somebody somewhere is faking it
       | or being defrauded. Much of the time you just need to hydrate
       | better if you're going up in elevation above 10k and you'll be
       | fine.
        
         | justonceokay wrote:
         | Pro-tip: if you propose to your wife at 13000 feet, don't
         | actually have her put the ring on. Her fingers may swell
         | causing her to panic about circulation and you'll have to run
         | down the mountain and to this day she will not think it is as
         | funny as you
        
           | tristor wrote:
           | It makes a good story to share with new friends in the future
           | though. I've got one of those too, heh. I proposed to my now-
           | wife on the bow of a sailboat at sunset on a local lake,
           | overlooking the water. Should have been an amazing moment,
           | except I didn't know until that trip that my now-wife gets
           | seasick/motion sickness. Luckily it did not ruin things, but
           | we've never been on a boat together since except for a ferry
           | crossing between Tallinn and Helsinki once.
        
       | dtsykunov wrote:
       | Are we supposed to feel bad for insurance companies here?
        
       | ferfumarma wrote:
       | Why is hiking the tallest mountain in the world not an insurance
       | carve out
       | 
       | Make coverage void in the Himalayas... problem solved
        
         | decimalenough wrote:
         | As the name suggests, Everest Base Camp is just the starting
         | point of the actual climb.
        
       | adolph wrote:
       | It is a surprise to me that anyone summiting has access to
       | insurance at all. I suppose that if the fraud rate is as low as
       | 3.5% and insurance is contracted specifically for the trip, then
       | a rational payor will raise rates and carry on.
       | 
       | On the whole, there is finite capacity of certain assets, like
       | helicopters. If the emergency carrying capacity is X and true
       | emergencies are .6 X then there is spoiled capacity of .4 X, in
       | which fraudulent emergencies are placed, keeping everyone in the
       | system whole so that when true emergencies approach .9 X there is
       | no need for fraud. This follows the "optimal amount of fraud is
       | non-zero" and eliminating this fraud might remove the margin
       | needed for the system to exist at all.                 An
       | anecdote tells of the British government's bounty on dead Indian
       | cobras        giving locals the perverse incentive to start
       | breeding the snakes, to be able        to kill more of them and
       | collect more bounty
       | 
       | https://en.wikipedia.org/wiki/Perverse_incentive
        
         | tim333 wrote:
         | The people in the article are just trekking around the valleys,
         | not going for the summit. I did a summit attempt a while back
         | and didn't bother with insurance because here wasn't much they
         | could do - helicopters didn't go that high and getting some
         | sherpers to carry you down would be better achieved with cash.
        
       | phyzome wrote:
       | Misread this as "fake rescue _rocket_ " and it took a bit before
       | I realized that.
        
       | pkoiralap wrote:
       | While it is true that guides and business owners are always
       | looking for opportunities to earn extra cash, the reporting is a
       | tiny bit off here.
       | 
       | Start of AMS like symptoms can easily be mistaken for walking
       | fatigue and dehydration. It is easier to identify if you are at
       | rest, but during the trek that is seldom the case. So when you
       | actually start realizing something is wrong, you already are at
       | an elevated risk. The only thing that works in these cases is to
       | descend and as fast as possible at that.
       | 
       | Considering the fact that AMS will absolutely and a 100% kill you
       | if you play around with it, guides presenting trekkers with an
       | option of helicopter rescue is not that bad, at least if you look
       | at the worst that can happen.
        
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