also to be fair, the director is often a political appointee, who frequently never did the job in that city as a street medic, and as such, their opinion is often whatever is in the best interest of their (the director or mayor's) career, or in response the the public outcry, regardless of if it's based in fact or if its in the best interests of the people they are in charge of.
You're onto it mate, he is just spouting words that sound good.
Not to excuse the ambo's but come on .... you cal 911 ten times over what was it, about two days, and yet you make no effort to get the patient to the hospital yourself or meet the ambulance if it can get so close you can see it? Where is a little initaive here???