Agree, but some forms of protectionism is worse than others, some surve more purpose than others (think medical licensing vs hair dresser). Many should be scaled back.
The Fed doesn't charge, whether the Coast Guard in SEAK or PJs (though the Army is also doing some now) in other parts.
The Fed is not allowed to compete with civilians, so if say Med Flight can make the run, you get a bill. But, Med Flight lacks the weather, range, and hoist capabilities of the Uniformed Services. So, plenty of people get picked up for free.
Not sure how that has anything to do with this discussion.