What is the single biggest problem in private EMS? There are plenty of places to point your finger when asked "what's wrong" with private EMS. Private ambulance services, in particular, is the subject in question. Regardless of the diverse professions we come from within the medical field, it's safe to assume that almost everyone in the medical field has had some form of experience with private EMS. That's what makes this topic even more worthy of a discussion. There needs to be ideas from different perspectives being thrown into the mix when it comes to addressing the problems in private EMS. There are healthcare professionals who work in an ED, for example, that have made particular observations about this area of EMS. Others, who work in a SNF, for example, might have an entirely different perspective. So on and so forth. Those of us in EMS can't work to fix the problems we see on a regular basis if we can't understand other professional perspectives. Yes, there are plenty of problems to point out and this is true for every profession. It's not EMS-exclusive. But...the biggest problem? What's the biggest problem in private EMS? Where do you see the most significant areas of concern?