Dawn I'm glad you have chose to come up with a fix rather then bitch. Thank you. Your Idea has merit but I have a few questions. What kinda wages would we need to recruit a doc? My guess is enough to pay a couple of paramedics. What if your doctor or medics spent there time between runs training and doing run reviews with the volunteer organizations you have? Also what about using funds that would be spent on a doc to augment volunteers wages so the could be trained up to a higher level and keep there skills up. I do recognize that this system would be defrauded if not monitored closely. As to the idea of sharing a ALS ambulance between agencies I think that would be great. BLS reinforced by ALS or maybe a ALS intercept with a rescue to jump on the BLS ambulance. I disagree with the notion that volunteers are the problem. I think the problem is broader including accountability, (I hate the response ' what do you expect from us we are volunteers'). Another problem is a constant rivallry between b's and medics thats just silly. And as far as vollies holding wages down, maybe so I don't see enough of the US to know the conditions everywhere but what I am sure of is that if the vollies were not there the bean counters would still find excuses to hold the wages down. Reeducating the public to the need of quality EMS whether paid or volly is the key then the bean counters would have to pay for it.