I think you're confused or just being overly cynical. The process, as described, is exactly like traditional 911, but your first point of contact is a physician who can, if needed, immediately dispatch an ambulance (just like in your first scenario). If deemed appropriate (by a emergency physician trained to deal with life threatening situations), an EKG can be requested and the nurse can be guided through the process. If I'm in an emergency medical situation, I would absolutely want to connect with an emergency physician first and I'm sure there are many other people who feel the same way.