Rural. Very.. Rural. I'd say 70/30.. Higher on the appreciate. Lower on the anger. They don't have to pay taxes for EMS, nobody official would grant that.. I'd get similar results, hitting myself on the head with a brick. They do tax for the fire department; and the phone prefixes that have 911 service, have to pay for that as well. Biggest complaint, time getting from the station to the scene.. Sometimes it can be as far as 25 miles from the station.. Hey, we didn't force them to move to the middle of nowhere, you take your like into your own hands when you choose to live an hour from the nearest hospital anyway. We try very hard to provide a high quality, courteous, respectful, competent service; meeting the patients medical needs, as well as comforting them as best as possible. It's always been one of the traits of the service, even back into the early days, to have well mannered crew members. The locals seem to be very accepting of them, many people find a calm, competent provider more comforting, and if the patient can remain calm, IMO, they have a better outcome. The most difficult thing to do, is care for people who I've known all my life; most of the patients, no matter the situation, I know in some way. It can be very taxing on a person over time. But most of them seem to find comfort, in seeing someone they know show up. I've received and kept a lot of cards and notes from people I've transported over the years. Never had a complaint about me personally.