Catheters delivered to your door? Uh all that means is USPS or UPS etc delivers them from a supplier. Wally World and even most drug stores do not carry them. Documentation of need should be required and in my caregiver experiences with Ostomy supplies is required for Medicare coverage and supplies are limited per month. IOW for Medicare to cover it takes a prescription, It also takes one for a Hover Round to bill Medicare. Blood Tester delivered to your door? I think Medicare does allow for a blood sugare level tester for Diabetics. Makes logical sense as an ER visit is a fraction of cost. The testers would be under $75. Do the Math.
Medical Transport Vans? Yea those are needed as well for many. We don't use one we have our own van with a hydraulic wheelchair lift. Now go out to a car lot and find a High Top Conversion Van. You can't find them. Our is a 1998. That was as new as we could find after a month lomg search. We bought then van and the lift was a hand me down from a cousin we've used for a decade.
In many places buses do not have wheelchair lifts. Also the transport {actual ambulance} service even with paramedics may be needed to transport the person from home where family does care to the doctor for such things as pressure sore treatment, doctors appointments, etc. Pressure sores happen for many reasons.
The ironic thing is you complain about the cheapest cost. Want to know what cost as in tens of thousands of dollars a year {in the neighborhood of about $50K-$75K just for a room and food? Try nursing homes. That doesn't include medications or any other supplies. They are the ones getting the biggest chunk of the medicare dollars. Persons on Home Health get the least. Home Health Services are very limited usually they are there to teach.
Go look at the link I posted earlier. These are not people that I’d consider abusive of the system. Likewise, all the items I posted as examples are abused. I did not intend to imply that everyone who uses them are undeserving.