this post was submitted on 24 Jun 2024
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Emergency Medical Service/Ambulances are a ridiculously low qualified in a fair shair of industrial nations, especially the US,France, or Austria.
Even in the countries with more training/physician based services (Germany, Belgium, Italy)the actual qualification of the responders varies widely - most of them wouldn't be allowed to care for a single emergency within a hospital on their own.
Do you know, has it always been this way, or has the gap gradually widened with the enshitification of medical services to maximize profit?
Both.
The US never had a comprehensive EMS system as it was never seen as an essential service, both because EMS is expensive to run (especially in the healthcare/insurance/taxation environment the US has) and because there was significant lobbying against it (there is money in EMS on a large scale if you operate it in a very cut-throat way).
But the recent downturn in healthcare availability and county-tax-income in rural regions and the dwindling volunteer numbers and enshitification of medicine have all done their part in making the whole situation so much worse.
There is actually a good study showing "ambulance deserts". (Just as a reminder: That does not mean that no Advanced life support provider comes..it means that no Ambulance is available at all. So not even one staffed by an EMT-B and an emergency medical responder. And we're not talking about "what happens if we need two ambulances at the same time)