Posts Tagged ‘healthcare’


Years ago we enacted legislation to protect our patients, improve professionalism, and improve the standards of care. I’m old enough to remember the shoddy ambulance practices that existed here in Portland. We had the best of intentions – we wanted to get rid of those funeral home operators who were only trying to squeeze a little more profit out of their vehicles. We wanted people to get the best of care. We wanted to stop the crazy madness of call jumping, fist fights over patients, and scoop and run transport – without any standards.

[Note: This post is inspired by This Post, by The Happy Medic.]

Credit: Flickr

Interestingly, in those days, we, the paramedics, could refuse to transport someone who didn’t need an ambulance – it wasn’t in the protocols, but it was easy to do. Also, most of us really, really cared about being professionals, and we didn’t really need these regulations.Now, 35 years later, those laws are cast in stone. Most, if not all of the shoddy ambulance operators have sold out and moved to warmer climates, and the profession has changed – substantially. Now, those concrete laws are like shackles around our feet. Eight minute response time requirements are only needed for a small percentage of our calls. Eight responders on every call – the same.

There needs to be changes, but it feels very daunting to even begin that process.

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I’ve seen things you people wouldn’t understand.  I have images burned into my brain – that have wounded and scarred me to the core of my being.  I’ve seen things that no caring person should ever have to see.

The other day, a cop friend of mine was talking about some of the things she has seen.  She mentioned how they joke about using the MIBflashy thing” when they retire – to erase all the things they’ve seen.

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We can’t keep doing things the way we’ve always done them, or we’ll keep getting the same results over and over again.  That’s called insanity.  We have to keep moving forward.

I ran my first EMS call in the early 70s.  I’ve been involved in this profession since I was a teenage, snot-nosed, kid.  Those early days of EMS were incredible.  CPR, Hurst Tools, Advanced Life Support, and even the 9-1-1 system brought radical life-saving to the prehospital setting.  But now I have to ask, what have you done for me lately?

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Don´t shoot me in the face.I think one of my biggest frustrations is when people fail to see the bigger picture.  When a system plays out, just the way it is designed to operate, why do we blame the people who are merely actors in the process?  Why do we shoot the messengers?

For example, there are 30-40 million people in this country without health insurance.  Many of those people are good, respectable individuals who find themselves in a difficult, and possibly temporary, situation.  Others have been raised within a culture of poverty – social, spiritual, cultural, and financial poverty – they don’t know any other way.  It isn’t their fault they are in the situations they find themselves, and they don’t know any other way out.  Why do we blame these victimized people for the using the only system they know?

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