The NAEMT has no legislative agenda and does not represent the needs of working professionals; don’t waste your time, and more importantly your meager salary.
It's sad that the NAEMT is the only "sizeable" EMS organization around in the U.S. As far as starting a better organization, there's one huge problem. EMS as a profession is severely fragmented. The amount of EMS professionals that work in the field for their entire career are very few when compared to other healthcare professions and other public safety professions (I say both healthcare and public safety since EMS is either one or the other, or both, depending on who you ask). As for those who don't stick it out for a career, one of several things happen:
They just burn out and quit. They earn a degree in either another area of healthcare or something else entirely, and then leave for that career. They go fire based for the pay, retirement, etc. etc.
This results in a highly transient workforce. It's exceedingly difficult to politically organize a highly transient workforce, many of whom don't intend to stay in it for more than a few years or so. If the profession as a whole were more financially rewarding, there would be less turnover. It's really a catch-22.
One thing that may help is if The Public Safety Employer-Employee Cooperation Act passes the Senate. That would give EMS (municipal only) collective bargaining rights nationwide. Perhaps if muni EMS were able to negotiate better deals, then the surrounding regions would benefit from the "union effect" as I call it. This is the case in NYC. FDNY EMS has great benefits and retirement, but mediocre pay. Some union hospitals have great benefits, pay, and retirement. To compete with the FDNY and the few union hospitals, the non union ones have to trump what they offer. If JHMC pays another $1.50/hr, the other hospitals will follow suit. Same for benefits, working conditions and such. The hospitals also pay so well because they have to compete with FDNY's benefits and retirement. It's worked well over the years. Many have left FDNY EMS for the hospitals.