I worked for AMR in San Mateo County as an EMT for 2 years but while I was in medic school I was feeling the same thing you were. I felt like I was working for a big corporation that didn’t really care so much about patients as they did about their bottom line.
Don’t give me wrong, the operation that I worked at was actually pretty awesome but I just could not see myself there for an entire career so I did a bunch of research on different third service agencies in the country. I just always wanted to work for a city or a county. Just randomly on a whim, we started doing some research about Pittsburgh (cost of living, climate, taxes ) And found out that Pittsburgh EMS does things that no other EMS service in the entire country does.
It seems like every agency has their ups and downs, some people will bitch about anything but I have to say I don’t feel supported and valuable here.
Right now it seems like we’re on the upside of the curve. So it’s getting a bit busier out there. Not like NYC or anything, we’re just waiting for it to hit. We have specialty resources on the street 24/7 That are enhancing our regular medic units. We are really aggressive PPE Protocols in place that make me feel safe on every call. We’ll see what this weekend brings.