The 2015 National Transit Database reported a cost of $35.55 per one-way trip by paratransit service. The TRIP volunteer driver service cost per trip was more than 6 times LESS than the average national cost of a one-way Paratransit trip. The cost per passenger mile with TRIP last year was 45% of the National Database cost per passenger mile provided on a regular bus.
The Americans with Disabilities Act (ADA) requires public transit agencies that operate bus service to provide complementary paratransit service to people with disabilities who cannot use the fixed-route service due to a disability.
Under U.S. Department of Transportation regulations persons eligible for Paratransit services must be treated equitably without regard for the purposes of their travel. Providing trips that are out of area and dialysis trips are extraordinary in terms of the strain they place on the system.
The 2019 Dialysis Transportation Intersection of Transportation and Healthcare report by the National Academies of Sciences, Engineering, and Medicine found that Demand for trips for dialysis is impacting transit agencies' ability to meet other trip needs. The research concludes that the extra time and effort required for dialysis trips translate to higher per trip costs and that public transportation is not appropriate for dialysis trips requiring more care than public transportation is designed to provide.
Smith suggests that giving ADA Paratransit eligible people the option of using a TRIP model volunteer driver service instead could decrease the strain on transit services and save transit agencies the growing cost of Paratransit expense. He continues that the service type, which the Independent Living Partnership has proven to be viable and cost-effective for more than 25 years, could be adopted and operated by transit agencies everywhere, individually owned and branded as an innovative Mobility as a Service offering of the agencies.
According to the ILPconnect.org website, a TRIP model volunteer driver service is easy to start and, using the TripTrak software that ILP developed, requires minimal staffing for administration. Smith says, Because of TRIP's innovative design, riders share responsibility for their own transportation, recruiting their own volunteers and arranging their own rides. He says, Because the rider recruits their own driver and the volunteer driver is responsible for the vehicle and insurance, there is minimal liability for sponsoring agency. Paying mileage reimbursement is the main cost of the service and friendship between the rider and the volunteer is the bond that perpetuates the rides.