The "f**ck offs" (never heard that term before) never make it all the way and get a state card. It seems easy to high school kids to throw EMT on their schedule because it looks easy and sounds really cool. Most show up without their BCLS card and are booted right away (they will claim to their death bed they did not know about it as a pre req or didn't see it. Lingering high school attitude again). The ones that still show with the BLS card, buy their text book, uniform, boots, etc and most will fail their first tests. None will make it through skills testing, and you will never see one sit for the National Registry. To much time, money, and effort.
Even though its a 120-170 hour class, all of the LiveScan fingerprinting, backgrounds, medical exam and TB, uniforms, textbooks, BLS class, skills testing, and national testing usually strongly discourage idiots from making it all the way though.