Vote upon the type of care they should receive? Ridiculous! You mean you should allow of what type of care one can receive by voters? Really want that outcome vote to determine if your child gets an IV for septic shock or maybe no oxygen at all.. (since the public will determine the type of care). You would allow the public to actually consider modalities of treatment? Would you allow them to consider the type of fire suppression attacks that FD can perform. Medical care is not a republic action.
The public is ignorant and stupid of medical care. They depend an entrust upon us to make the right determination for them. It should be made for the community by the medical community and those educated within it.
There is NEVER an excuse for a BLS unit alone to ever respond upon an emergency call. That is the fact. Period. Patients and citizens deserve an advanced examination and treatment of ALS immediately if needed. Paid or professional will be quickly determined after the continuation of increasing calls and demand for a degree level before allowed to even before licensing to provide patient care.
The communities that have to depend upon volunteerism as previously discussed will always fall through the cracks. Unfortunately, that is part of the risks living in that environment.
There is no easy answers, but lets not regress.
R/r 911
So, democracy isn't your answer, and that is the reason you have failed to be successful. You forget, we live in a democracy. Name one public service where public opinion isn't pivotal—just like you described in the fire vs. ems thread. Keep relying on ems providers to change things and ignore the public, and see where that gets you. The real policy makers don't care about the paramedics opinion, they care about public opinion. And that's the way it should be.
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