i agree with you that they are different careers but the back round is some what the same... i fell like i am better suited for RN because i get hurt way to easy but i love being in the ambulance and being with a company. idk and to 9d4 for sure i know its 10k at the school i would be going to. but it includes books per semester,uniforms,and class. as for RN if would do CC i would pay 5,000 in pre reqs plus then id go to UMSL (university missouri saint louis) because they have a great RN plus everything transfers id be a Jr. and i know the director of the nursing school but it be about 75k not counting books and what not. also in missouri at least STL you do med surg for like 2 years your in the ER by year 3..
I originally picked RN because of the better education, more opportunities, and options for NP/PA. If the educational standards were the same it would have been a much harder decision. While I think I would be happy in either career I am very happy with the nursing profession.
Nursing school is expensive. My BSN cost around $65K in tuition not including books and general expensiveness so your estimates are probably not too far off. I was able to get some tuition assistance, loans, and scholarships and end up with ~$20K in debt. However even with my student loan payments I am still clearing enough to live comfortably. Well worth it.
St. Louis CC, IHM Academy, and St. Charles Ambulance District are local paramedic programs. I do not know the exact costs but I am pretty sure IHM and SCAD are cheaper then $10K
Some general advice...
Find a tech job at a hospital with tuition assistance programs. That helped offset the cost dramatically as well as helps with networking and job placement in the future.
Go for your BSN. Most Saint Louis hospitals are on hiring freezes. There are tons of new grads looking for jobs and any advantage helps.
ER/ICUs usually do not hire new grads but some do. Teaching hospitals (Barnes/SLU) are more likely to pick up new grads and have well developed residency programs. After one year of experience you should be able to transfer anywhere you want. Try to get on a telemetry, cardiac, step-down type floor as a first job.
And if you really end up missing EMS jump over the river to Illinois and become a Prehospital RN (PHRN).
PM me if you have specific questions.