On the flip side, so many fire departments wants everyone to be a paramedic. They could save money by getting rid of that standard.Every municipality wants paramedics, right up til it’s time to pay for paramedics. https://fox43.com/2019/12/12/the-cost-of-emergency-medical-services/
This is a thing in a lot of different places. Everyone vying for their piece of the pie. It is a shame that it is motivated by dollars rather than serving the public.Where I am in Pennsylvania, it is very different. Municipalities sign a letter of agreement to have an agency provide primary 911 service. The municipalities usually don’t pay more than a small stipend to each agency. The EMS agencies are forced to rely on billing, and if you’re in an area with a crummy payor mix… You’re SOL.
We recently went toe to toe with another agency that was looking to take away a portion of our 911 territory. It became pretty acrimonious. Response times, service promises, lots of public outcry… We managed to keep the territory, but had to provide additional services that will cost us more money
You have no idea. Worse, there was a BLS " quick response service" that was also trying to carve out a chunk. They could barely staff their service on a good day and they wanted to be the primary transport agency. They attempted to merge with another service and that went badly. They just closed their doors... But somehow that's our agency's fault. We "drove them out of business".Jeeze.
The 911-only company I worked for had been covering the same township for 50+ years. A few years back another agency wanted to take over the municipal contract. So instead of the usual price of $350,000 or so, the contract was driven down to $30,000 or so by bidding plus an agreement to purchase all new ambulances that year. The company that wanted to take over is famous for lacking coverage of what they are already responsible for and for focusing on IFT ahead of 911.PA EMS is a strange beast.