Trending Topics

Rural/Metro: What will bankruptcy mean for workers?

To try to make a go at it on the cheap is a typical response, and one that puts the community, workers and shareholders at risk

The rumor mill has been swirling for several months about the impending bankruptcy of one of the country’s largest EMS providers. A recent strike in New York and recent uncertainty of a northern California unit are just two harbingers of an impending disaster for EMS workers.

Given the horrid reimbursement conditions that have defined EMS operations for decades, I am not sure why anyone would view “traditional” EMS as a profitable venture. The money is in inter facility transport, not in 911 response.

To try to make a go at it on the cheap is a typical response, and one that puts the community, workers and shareholders at risk. It’s not likely that jobs will be lost, but it’s clearly possible that 10,000 EMS providers stand to lose benefits, retirement, and pay.

Unfortunately, I don’t think this will be an isolated incident. With little reimbursement, high liability and an industry in transition, conditions are ripe for other dramatic failures. As we say in the business, Stand by for further.

Art Hsieh, MA, NRP teaches in Northern California at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. An EMS provider since 1982, Art has served as a line medic, supervisor and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. Art is a textbook writer, author of “EMT Exam for Dummies,” has presented at conferences nationwide and continues to provide direct patient care regularly. Art is a member of the EMS1 Editorial Advisory Board.