Re: pondering a thought

[Guest guest]

when you do drive through silsbee, make sure you don't blink, you might miss it.

lol

Re: pondering a thought

I've been reading through all the emails about the NEMSSOP's and the most

common remarks are: who is willing to work for our pay, and well gov't and

federal services will pay the wages and yada yada yada. well I was

wondering, that's a good question? maybe someone has already thought of it,

so feel free to bombard me with answers or " get a life's " or whatever, but I

just had a brain fart, and well, you guys get to smell it now.

OK now to get to the juicy stuff. say that a service does hire one of

these " APP. " will the APP ride around in a " supervisor vehicle " and be used

in a tiered system or " last resort " ? if that, then what's gonna happen when

every tom, dick, and harry gets their APP, are they gonna change the SOP's

again? also, say the services do hire these APP, you know that these people

aren't going to work for these little peanuts we get now, so the funds got

to come from somewhere. and this " union idea " would increase pay for all,

and maybe get better benefits too. which leads me to my next question.

Say we get this utopia we call a " union " and pay does go up. with

medicare/medicaid and private insurance's paying less and less every year,

exponentially the money to pay the EMS workers is going to have to come from

somewhere. and with the stereotype that EMS is a lot of fraudulent

billers(okay guys you know they really exist) so insurance's aren't going to

reimburse EMS enough and the county I work in has commissioners and a judge

that wouldn't sign a county contract to save their lives, so the idea of

subsidy is out of the question. that would mean that the big ambulance

services will survive and maybe even monopolize the EMS business. now in

order to pay these union workers, less employees will have to exist, so

rural EMS will be stretched so thin that the old 30min response time would

be a twinkle in someone's eye, cause you know that if the people who develop

these brain boggling posting plans could, they would spread a brick wall

thin enough to make it transparent.<

so the summary I guess is that it would be great to have a union. that

utopia would be something to look forward to, but in order to pay what the

union would set as a standard, ambulances would become fewer and fewer so

that staff volumes wouldn't be high. to me that is a compromise in pt care,

but the EMS providers would do it to save a buck. but there again referring

to one of my previous emails, that show what these " corporate EMS providers "

HNIC people really care about. also how will the APP be integrated into EMS?

my momma always told me " if it sounds to good to be true, then it probably

is. " I think that Dr. Bledsoe's SOP's are more tangible than the goober that

made the other " thing " . I don't agree with taking away what skills we have

now, but if someone can guarantee that this rocket science idea that we have

labeled as NEMSSOP's will increase pt care, I'm game.