I would love to see EMS become more of a PA level curriculum. If it was brought up to that level I think the whole idea of community paramedic would be much more viable. I also think that many more pts can be treated and not transported or told they will need to find other transportation.
As for all pts thinking they have an emergency when they call 911 or go to the ER, this is just not true. Many know it is not an emergency but don't care. They do it out of convenience. There are some that truly think they have an emergency (including the frequent fliers) but there are just as many that don't and when you have been in this field long enough you learn to recognize that. It should not change how you treat people. I treat people the way they treat me. If you show me respect and courtesy, I will bend over backwards and treat you the same. Treat me like a douche and I will do the same. I am not mean to people (even if they are), you'll get treated appropriately but don't expect a smile or anything extra.