agregularguy
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The wages are a compensating differential. Yes, they pay in the low twenties(after you're pinned) for BLS, which is high anywhere; but as I said residency is a requirement. Every single aspect of your life will be more expensive. Rent in the city is astronomical, car insurance can easily be double suburban rates if you have the wrong address, even a gallon of milk is going to cost you more. So yeah, they pay you more per hour, but most of the difference is going to be eaten up by the cost of living increase.
I have never heard of BEMS running anything but B/B and P/P units. It's true a lot of the "basics" at BEMS are actually medics hoping they can hang on long enough to promote to ALS(which takes several years on average), but officially they can only work as basics. That being said, I dont work there and dont have the boots on the ground knowledge to say for sure; hence the "to the best of my knowledge" trap door.
Just to hammer home how much more expensive stuff is there, when I flew back into Boston a few weeks ago for a weekend to see my friends/old coworkers I happened to pass by a new looking apartment complex. It looked pretty similar to the one I'm currently in down south, so I figured I'd check it out. For a 1 bed you're STARTING at 2700. While this one apartment complex isn't necessarily 100% representative of all the other housing prices in the city, it does highlight just how pricey that city is. Then not to mention the food, insurance, etc aspects of living in a major city that are higher as well.
Moral of the story is, just because a job's pay looks good on paper.. doesn't always mean it is.