Additionally, the idea that one should just move on or take a different job because of poor conditions is unsatisfactory. The original poster mentioned things like Medicare fraud which is a very realistic (and serious) issue that EMTs have come to me about before. We have locally have several cases of ambulance company owners being put in federal prison. Other issues such as not allowing for proper patient care are legitimate concerns.
The answer is not to settle on those problems just being part of the nature of the beast. Hurried meals, occasional shifts without eating all day, having to ration your supplies, SURE...part of EMS. Being directly told to lie on paperwork, not getting to eat an actual meal shift after shift, being told transfer patients against local protocols, etc etc are NOT part of EMS. No one directly said they were, but it was implied by brushing off concerns about local EMS voiced in this thread...there are definitely real problems locally that are NOT acceptable.