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Also if possible, could you try using the TEST version (linked above) just to see if that helps as I have fixed a few bugs that may be related to your issue in that version.
I also recommend logging into our discord server if you can as it is a lot easier to trouble shoot issues in there as we can paste screen shots more easily etc...
Try turning ON:
Global Options > Transfer Manager > Services > Sick Citizen Collection > Override Sick Handler
Also I suggest logging a Sick match set. You can look into it yourself or if you upload it somewhere I can have a look for you:
Global Settings > Maintenance > Match Set Logging > Log Reason = Sick
Sorry to hear that. If you upload your map to Steam or somewhere else I am happy to have a look at it for you.
@Necko there are no transfer issue with hospitals and the all the hospitals are sending out plenty of ambulances, just across the map instead of locally for some reason.
The "Prefer Within" option will respond to requests outside the district when it's priority is 4+. In this new version of TMCE the vanilla Sick handler is used by default. This handler will add virtually all Sick requests as priority 6 so will always pass this check.
As you have mentioned you can change your restrictions to Within District only or alternatively you can enable the mod's Sick handler in the services tab after which the priority will once again scale by building sick timer.