Someday all the EMT-Bs and Is will just have to stop making excuses for not getting their Paramedic patch...Period. Then there would not be such a shortage as described above. What is the problem? Too much education? Too much responsibility? The program to be a Paramedic is only a few hundred hours. It is not a 4 year degree. What is with all the whining just to do a BGL? That patient still deserves the benefit of a Paramedic assessment and whatever knowledge/skills that Paramedic has to offer. The ideal situation is still a two Paramedic truck and then there is a possibility of that service advancing to hypothermia and RSI protocols rather than catering to a mixed crew and the lowest denominator dragging them down.