To name a few issues: patients receive delayed care, overstaffing is needed to deal with these issues; people with real emergencies have to wait. It is hard on morale for EMS providers after years of training and education to be regarded as a driver only. And it is an inappropriate use of EMS talent. When an ambulance run is deemed medically unnecessary, the insurance company will not pay for it, stated quite clearly on the Medicare website. Imagine the waste of insurance dollars on ambulance charges that are unnecessary or the loss to Ambulance Company’s when/if a patient doesn’t pay for their misuse of the system. …show more content…
Every state controls its own EMS system. There are no nation wide fixes. There have been a few failed attempts. In the 1970’s, in Dallas, Texas, they allowed EMS personnel to determine if a patient truly needed a hospital by ambulance or not. The education of EMT’s and Paramedics in the 70’s was nowhere near where it is today and the program failed. After many more failed attempts to try and cut down on these issues, the EMS system, as a whole, made its biggest side in order to cut down on misuse and abuse of emergency medical treatment. There is a new level of emergency management that is being developed and tested in America call the Community Paramedic or the Paramedic Practitioner. This new level that is still very much in its infancy stages would be someone who comes from a paramedic background and will have additional academic qualifications. These individuals will be able to have enhanced skills in medical assessment and extra clinical skills above the standard paramedic or qualified nurse. They would go to the scene either as a crewmember on the ambulance or possible a different or separate response vehicle. After they deem what type of situation is at the scene, whether an ambulance is needed or if the ambulance can be disregarded and marked back in service quicker than before. The Paramedic Practitioner would be able to evaluate, diagnose, and prescribe