This!
Unrelated to quote: In my system the truck(quint,ladder,whatever you want to call it) is very rarely first up for a medical aid. Usually the engine amd patrol take the response. Never been a problem around here with the truck missing a call
There are ALS Ladders but in a fire they are really nice to have rolling as quickly as possible.
While it is possible to get a ladder down and truck moving somewhat quickly, what happens if someone is hurt on some personal errand? Do you really want the taxpayers to be responsible for paying for something that was a personal use fo the truck for the next 40 years?