Haha yeah, I know MONOC as a service is pretty soulless, it's just where my prehospital ride time for school happened to be. All the times we transported were due to extended volunteer response times--30+ minutes and the like, I'm assuming that's not the case throughout the state. I know they paid their medics kinda ****ty by Jersey standards too--a few guys I talked to were talking about going to Virtua or JCMC.I have no doubt it was done, but some places have a reputation for playing fast and lose with certain rules... as well as ambitiously trying to change them to suit your purposes.
It you had gotten out of Monmouth and Ocean county, you would have seen an even more interesting environments. you have volunteers beating medics to the scene, cancelling the medics, and handling patients all on their own.... or even stranger, 2 to 3 paramedic units covering an entire county, all in SUV Flycars.... and NO FD involvement in EMS..... Very different compared to some other states.
It's far from perfect, and some places are more questionable than others, but if you could make it there, you could make it anywhere.
My buddy used to work TEMS and used to tell me stories about it--they used to cancel the Capital medics on almost everything. Honestly I'm all for that--I think ALS is extremely overused in most, if not all, urban systems. The whole volunteer thing I'm not particularly sold on, but that's a battle for another time.