One of the biggest early decisions in starting or scaling a non-emergency medical transportation (NEMT) business is vehicle selection. New vs used. Minivan vs transit van. Wheelchair vs stretcher capable. Ramp vs lift. These choices impact insurance, operations, maintenance, compliance, service capability, and long-term profitability. There isn’t a single right answer—and that’s where many providers go wrong. Vehicle decisions are often made based on budget alone instead of b