Ornge has as many, if not more planes than they do helicopters.
I often track where the flights that shake my house are coming from. I've never seen one that didn't originate in southern Ontario. Normally it's transfers from Durham and Peterborough. Perhaps they use planes for further away.
The high cost was discussed a decade ago -
https://www.thestar.com/news/canada...icle_fcd2d768-6727-59ec-b46d-d38dbf5aad05.htm
Now they are getting service lapses at times, with supply chain issues for parts.
https://www.ctvnews.ca/toronto/arti...s-serving-toronto-temporarily-out-of-service/
My experience, is that there land transfer system (ambulance) system is their biggest issue. During an incident I was involved with for a Michael Garron to Sick Kids this summer, I heard the ER doctors discussing ORNGE's failure to show up for an emergency run - and I was surprised to hear that they'd never had an emergency transfer work out (I believe they are still required to start with them). Essentially they waited an hour or so (late at night) until the Sick Kids ER was ready to operate and seconded an underequipped ambulance with extra MG staff riding along.
Still, I fully support using Billy Bishop for such services. Aircraft restrictions should be based on noise profiles and urgence, not what technology is used in the propulsion system.