Nothing and it never will as long as firemen manage EMS. Thats why although EMS does 90pc of dept's calls AND is the only div that brings any revenue, theyre allotted just 20pc of budget and personnel. Reason engine arrives first is availability, ie too many fire engines not enough ambulances.
EMS 1.5M calls. Fire? A few thousand, tops.
The numbers: https://cbcny.org/sites/default/files/media/image-caption/EMS%20tables%20and%20figures-02_0.png
I disagree. EMS systems can be managed by Fire Department personnel. It happens everywhere across this country. This likely isnât news to you, but, the entire country is struggling to provide EMS efficiently. The large privates make it work with shitty work conditions (no station), and low pay. If a private service could make it work in NYC, they would be doing it. My guess is that there is no business model that would be profitable.
However, you are now drawing a pension because you were part of that same system. Wages and all.
It's not supposed to make a profit. I'm talking about sending 5 firemen each of whom earns 50pc more than a medic, with less training than an EMT, and a huge, expensive vehicle that can't transport a pt bc every ambulance is on a call/unavailable. Pretty obvious whats needed but FDNY won't do it. Theyve had 20+ years to prove themselves and they've failed miserably. The system works for firemen. Not patients, not taxpayers, not medics/EMTs. Not ok with that.
What have you done to fix it? Did you work your career and draw those paychecks, fund that pension, and then see the problem after you left?
EMTs and paramedics are underpaid. This is no secret, and it isnât just an FDNY problem. Again, nationwide EMS personnel are underpaid. Why? Because they are coming out of the woodwork. Are the FFs paid more than EMTs? Yep. Itâs also likely that those EMTs wonât make entry into a single IDLH atmosphere. They wonât make entry into a Haz Mat hot zone. They wonât make entry on the confined space rescue. They may respond to any, or all of these, but they will sit in the coach until they are needed.
Lastly, if you think that FDNY is going to trade fire apparatus for ambulances, you are nuts. There is big money at play on the fire side. ISO ratings, commercial business insurance rates, retain business insurance rates, etc., etc.
I would say that you should start an ambulance service in NYC so that it will be managed correctly, and everyone is happy. What do you think?
Check out the comments on "Why this job" and tell me it's ok that guys save personal projects for when theyre on the clock etc. Meanwhile there are no ambulances available for the guy having a stroke or MI. I'm telling you FDNY centers what's best for firemen. Not for the public, the taxpayer, or the EMS employees. It's a scam and you're only pretending it's not bc "why this job" isn't teachers or bus drivers talking about taking naps or binging on Netflix on the clock. It's firemen being honest about how underutilized they are.
Wow. The truth comes out. And itâs what I said earlier. Jealousy is a bitter pill. BTW, itâs âFirefighterâ hasnât been fireman for at least 40 years. Maybe you are the one that isnât up to speed pal. Start an ambulance service and do it right man.
No, Dr Freud. If you can't recognize that underutilization in one part of an org and underresourced in another part is a management responsibility to correct, you're demonstrating why firemen should never manage EMS.
The situation calls for more EMS resources and fewer fire resources. Duh.
Your comments point back to nothing more than jealousy. Itâs a long life man. You shouldnât spend it pissed off. Unless you are planning on fixing the problem. That wonât happen with you crying on Reddit about some firefighter that hurt your feelings and made more money than you did.
Iâve worked both jobs. Retired from FD. I understand the dynamics of both. You donât. Your hurt feeling is allowing your heart to make your mouth say dumb shit. Cash your pension checks and be thankful every month that you made it out alive. Time for rest. I have to wake up at 0430 for my retirement gig. Thanks for the conversation. Peace out!!
Now back to the data, that tiny light blue sliver gets 80% of FDNY budget and personnel while that big yellow part gets 20%. That's textbook mismanagement. And guess what? FDNY is so bad at EMS they have to contract out huge areas of NYC bc they can't handle that many calls. It's management failure, pure and simple. Why defend it?
See that tiny light blue sliver? That's where FDNY management thinks 80% of personnel and budget belongs. Do you agree that's a reasonable decision or not?
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u/NFL-Football- Apr 17 '23
Did you work in the same system?