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The police vehicle AI finds nearby crime to respond to. It is separate to the matching process so wont follow any building restrictions. You could disable this if it bothers you.
Just to give a bit more detail, vanilla outside connections are quite inefficient as all the vehicles are fighting to get to a particular spot and they have to wait till they aren't going to collide and all the usual vehicle stuff. Trains are especially bad at this issue.
What tends to happen as your city grows is that the outside connection can no longer keep up with demand as the vehicles are having to wait for longer periods of time before they can get access to the target location and your city will slowly die.
These patches are designed to speed up outside connection processing so they don't reach this point of failure.
That is a setting in the main/global settings for Transfer Manager CE, which you can disable if you want:
Settings > Advanced > Spawn Patches > Force cargo (train/ship/plane) to despawn at outside connections
Note that you will still receive all income from the train reaching the outside connection as normal (the train is still despawned normally) it is just triggered earlier to stop outside connections from backing up unnecessarily.
cargo train stations get slammed with trucks without this mod enabled...
Medical helicopters use the transfer reason Sick2, buildings will occasionally request Sick2 services so the helicopters should respond automatically.
If they aren't responding it may be that you either have no sick citizens or there are restrictions placed on Sick2 to stop them matching.
On the maintenance tab you can enable logging of Sick2 and either look at it yourself or upload it somewhere and I can read through it to see why no matches are occurring.
Note: In the global settings you can also enable the new sick handler and control how many requests are made for Sick2 compared to the normal Sick requests. Changing this should allow you to increase/decrease heli8copter usage as you wish.
I would definitely need a save game to look into this one for you.
Planes won't start moving always stuck at bay as ghost vehicles.
I could provide mod list and saves if it would help.
As any tests needed.