TKO...1) All of your perceptions of me are wrong.
If this is true, consider that my perceptions are drawn from the previous statements and opinions that you have posted in this thread, and one can only conclude that you have misrepresented yourself.
Maybe we can't fund the huge salaries of paramedics (I'm laughing as I write this)
Many rural locations won't fund a 24 hour ALS service when BLS can reach the local clinic within 5 minutes and receive enhanced care from RNs. Fire Rescue is required for extrication for highway MVAs. That's just more money needed and it has to come out of someone's budget.
ALS is critical in large centers where time from scene to hospital is too great to make that coverage effectively. ALS would be better for everyone, but if you have to balance a tight, small budget and you are already staffing RNs, what are you going to do? You are going to hire EMT-Bs and you will want to keep their skills limited to prevent them from being due a larger salary.
We all want better medical coverage, but nobody is willing to pay for it. And I don't support this either but I do try to make the most of it; calling the people that work under me idiots won't improve the system.