Rubicon Bob
Forum Crew Member
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EMS Is Not a Business Model and We Are Paying the Price
EMS leaders face mounting pressure as Medicaid cuts, low reimbursements and flawed funding models threaten system stability and readiness.

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The UK has an incredibly inefficient and nonfunctional system.Tons of variables but whatever the solution involves, if the number of non-essential/frivolous transports to the hospital isn't meaningfully addressed, meaningful resolution can't happen IMO. I like the attention paid to the 'response time' fixation for even non time sensitive problems too. The conventional wisdom needs to be challenged in a big way. In the end tho, given the liability scourge in this country, not holding my breath. The UK NIH model will never exist here.
No argument...but it does for less what a lot of systems here do for more...what people have to come to terms with is the fact that EMS is a money pit forever and always...delusional to think it will ever be anything else...but is that worse than the alternative....The UK has an incredibly inefficient and nonfunctional system.
Good point, however that “less” is killing it off. NHS et al is in a downward spiral of collapse.No argument...but it does for less what a lot of systems here do for more...what people have to come to terms with is the fact that EMS is a money pit forever and always...delusional to think it will ever be anything else...but is that worse than the alternative....