I've tried both hospital based EMS and third service EMS. The salary, benefits, etc. etc. will never compare to fire based EMS, especially regarding working conditions, save some depts in the pacific northwest. There are depts that have single role medics. I joined Fairfax both for the desire to do both EMS and suppression, as well as the desire to be financially comfortable. Many of us have entered the field to help others. I'm not doing this for free, however. This is what I do to support my family. I moved out at 22 y/o and worked several jobs to survive. I'm not going to work EMS as a career for peanuts. Compare general job satisfaction, burnout, and attrition between fire based and others. If there were third service agencies in existence that had comparable conditions, I would have been perfectly happy there. They don't exist. It's just how it is. As far as call volume, the medic runs 4-12 in 24 hours, the ALS engine runs 3-10 calls daily. We did 1 1/2 hrs of PT, ate an uninterrupted dinner, watched Borat in the evening, and slept most of the night. That generally doesn't happen with third service, unless you're out in God's country. I identified the superior benefits to the employee in fire based EMS, at least in Fairfax. I'm rubbing it in because you were sarcastic and bitter, with a hint of jealousy, with the one tenth call volume making twice as much comment. It would be great if EMS only could have a better deal, as there is much abuse, burnout, ridiculous call volume, and general lack of morale. I don't see that happening anytime soon, however. Do something about it instead of whining.