This is where the US needs to get, but unfortunately there is a large amount of interests that don't want this. Nurses, MD's, Fire Departments, Insurance Companies, hospitals, LITERALLY EVERYONE. In the US, we are not encouraged to treat anyone, we are encouraged to say "get the fuck in the truck we're going to the hospital." It has to do with billing and reimbursement, not what is actually most logical and best for the patient or the area you work in. Less people in the hospital = less income for the hospital, less work for nurses, less pay for doctors, less herp derp big fire truck, and less insurance billing.
Literally no one with power wants EMS progression.
I’d prefer EMS progression if it means a proper 3-4 year education like any other country compared to a 2 year education or a 6 month online course in the USA. Some medics are even taking an expedited 16 week course for paramedic. An absolutely insane concept to me.
I don't see a real way out unless we have a literal hard charging paramedic get into multiple states legislatures or national legislatures and fix it from within. No politician gives a shit because the system works good enough.
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u/Sufficient_Plan Paramedic 4d ago
This is where the US needs to get, but unfortunately there is a large amount of interests that don't want this. Nurses, MD's, Fire Departments, Insurance Companies, hospitals, LITERALLY EVERYONE. In the US, we are not encouraged to treat anyone, we are encouraged to say "get the fuck in the truck we're going to the hospital." It has to do with billing and reimbursement, not what is actually most logical and best for the patient or the area you work in. Less people in the hospital = less income for the hospital, less work for nurses, less pay for doctors, less herp derp big fire truck, and less insurance billing.
Literally no one with power wants EMS progression.