AMBULANCE SERVICE SYSTEMS IN THE U.S.
According to the National Association of Emergency Medical Technicians, the breakdown of ambulance service systems in the U.S. includes:
Fire department with cross-trained EMS personnel: 40%
Fire department with separate EMS personnel: 9%
Government or third service: 14.5%
Private company: 18%
Hospital-based service: 7%
Other: 8%
Public utility model: 2%
Police department with cross-trained EMS personnel: 0.5%
Police department with separate EMS personnel: 1%
As long as there is legal privatized medicine and legal privatized health insurance, there is an incentive and market for legal privatized emt service.
Private for profit services have a main goal of profiting off of the service they provide with a secondary goal of serving their clients. Public services have a main goal of effectively serving the public with a secondary goal of using the entire budget effectively without going over. Because of that, the two classes of EMT service will make different large scale decisions affecting patients and employees, that lead to vastly different outcomes for the people using these services.
Almost like when a platform is developed by an open an actual communist and all the people jumping reddit's ship are leftism braindeaders, the hivemind keeps rolling
Making fun of rural/suburban cavemen who have forgotten or decided not to know how to live in society is universal humor for anyone that isn’t choking on their own drool as they rush to vote against themselves in order to “own” some other group.
The alternative is to try to explain to these tryhard intellectuals why safe and healthy communities are a good thing but that’s just a waste of everyone’s time.
The amusement comes from the special boy alpha males who don’t need no gubmint telling me that “socialism” will ruin America while I’m surrounded by “socialism” here in Italy with safe walkable communities not full of guns, frequent transit and available health care.
American conservatives and their fantasies are longer my problem though so it’s pretty satisfying to watch the intellectuals work so very hard to make sure the streets are full of homeless people, guns and the mentally ill who can’t afford healthcare. Keep telling the rest of the world how it’s impossible to do the things they’ve had for decades 🙄🤣
Bro right now, Italians have stagnant wages since the 80s, terrible real estate, no minimum wages and increasing costs of living and necessities. For young people, it is even worse, so many young Italians are leaving the country, a bleeding of fresh blood that is not going to be replaced in any way. Studies have shown Italy is going towards a demographic crisis because young people cannot afford to raise a family, so they either leave or stay with very low wages.
Not sure what any of that has to do with my post…?
Italy is still much safer, cleaner and friendlier than anywhere I saw in 8 years of living in DC, despite all the problems you just mentioned. Seems like strong social safety nets (sOcIaLiSm in the American dialect) are keeping people who are struggling from becoming desperate enough to turn to crime.
I mean yeah isn’t that kind of the point? You have some uncompromising principles, say someone asks you to cast them aside? It’s not gonna be easy to do so most people choose the second best option and live with the cognitive dissonance. Either that or prefer to do as you say. Far as I understand United States and many other countries were founded because of that.
Another example. Look at my country. Hailed through years as the socialist paradise. Same governing leftists sent it to shit. Now what people do? Easy, engage in simple denial, anger and cognitive dissonance about it. “It couldnt have been real socialism”, “it’s not as bad as they say in the news”, “news must be fake”, “clearly it’s someone else’s fault it went to shit”, “oh oh maybe it was corruption” and so on and so forth.
It’s not as weird of an attitude and it is kind of part of humanity at this point.
Look at my country. Hailed through years as the socialist paradise. Same governing leftists sent it to shit.
Tells me that it probably was corruption. You got a bad group of leaders, and what had been good went sour. Unfortunately, that’s the way shit goes; bad leaders can wreck a great thing.
I mean tbf, the number of socialist countries that even tried to actually be a little bit socialist can be counted on one hand. It may not have been a great place to begin with.
I think that’s a problem, yeah. The people that are ideologues aren’t the people that tend to lead battles and win revolutions, and the people that win revolutions don’t tend to be ideologues that willingly give up power.
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