As far as my last profession, thank you for asking, since you referenced it twice in this thread, I will divulge to you. I owned a Real Estate Brokerage for 15 years. I started as an agent in the office and worked my way up to office manager and bought the business my 8th year in the office. I have served as the regional VP, the President of the Board of Directors for a year and the VP of the Board of Directors for 3 years. I was a state (CAR) director for 4 years and an NAR director for 3 years. I have spoken to congerss and spoken on the state assembly floor. I represented the CAR in Sacramento for 4 years and represented NAR in Washington DC for two years. I was in the business when the RE market was at a low and when it was at it's peak. I was able to retire before the age of 40 and made a life for my family that will allow us to live out the remainder of our lives very comfortably. My children will be taken care of as well as my mother and sister as long as they live.
Okay, let's go with something you are familiar with. A few years ago I went through the same real estate class that many become licensed from. For me it was just to gain some knowledge while the others wanted to get into the real estate profession to make their fortune. The class was less than two weeks. I came out of it wondering how in the heck I would ever trust some of those in that class with helping me invest $300k of my money. I can see how a similar comparison can be made to the EMT-B and someone's life. 3 weeks worth of training just doesn't seem to be enough. Needless to say, for my real estate investment I sort after an agent that did put some time and effort into their education and didn't just graduate from one of those real estate agency mills. EMS has similar mills where companies just want warm bodies on their trucks to move patients from point A to point B.
Just like Real Estate, those in EMS that want to become better prepared for the profession can take college classes and gain degrees. But, just like Real Estate, many do just take the bare minimum to get their certification/license.
And, in some parts of the country, the real estate industry has failed to police itself and should also carry part of the responsibility for what role they have played in this failed economy. Likewise, EMS also failed to police itself or legislators passed the responsibility off to individual counties such and in California which resulted in extremely poor oversight for the profession as a whole in that state. Surely you are familiar with the SacBee's exposure of the EMSA flaws. Those articles actually instigated a change that has shown a little improvement in CA or at least the EMSA got a nicer website out of it.
Legislators and other government officials have also be easily swayed to fulfilling their own agendas which has given EMS the turf wars between FDs, County and privates for tax money and the rights to EMS in a region. Again, I can use CA as an example where the FDs have limited how a Paramedic can be utilized outside of the FD. Thus, the MICN (nurse) has become a great strength especially for Flight (HEMS) and Critical Care Transport (CCT).
As a Real Estate professional and business owner, you may also have had your own agenda and reasons for being politically active and supported propositions that would be of benefit to you. Your views may also have differed with others who has their own ideas about how the real estate industry should be ran.
To gain more credibility and consistent education in the schools, the NREMT will be requiring Paramedic schools to be CAAHEP/CoAEMSP accredited. Two states do require at the minimum of an Associates degree to be licensed as a Paramedic. My state, Florida, provides all ALS service to every resident in the state. While I don't agree with the way the state has achieved educating many of these Paramedics, Florida has shown it is possible to provide the higher level of care regardless of the socioeconomic status of some areas. Accreditation at the national level will hopefully force schools to get on track or get out of the industry.
Read some of the recent posts from the Australian and Canadian forum members. I think you will start to see where the entry level education for both the EMT and Paramedic are lacking in the U.S. You will also discover that each state has been doing its own thing to where there are over 50 different state certifications/licenses recognized in each state, many of which don't cross the state line. Some are actually based on just a 3 hour training class for a "skill". As in other health care professions, there is not a national minimum or even some national organization that can represent EMS that is credible enough to lobby for fair legislation.
Those of us that have been around for awhile, 30+ years, do have higher education and obtained our degrees in the 1970s or early 1980s when EMS still had a chance to become a solid healthcare profession. Unfortunately, agencies saw an opportunity for their own agendas and that got side tracked. Sometimes it is also those in EMS that have become its worst enemies since they see no need to go further than the 110 hours of training and fail to see how education can benefit the patient. They too have their own agendas and often it isn't about patient care.