04/04/2023
Wednesday, March 29 truly was a heartbreaking evening for Cuba City Area Rescue Squad (“CCARS”) with many tears from our EMS team. After several months of waiting for the city of Cuba City to make their final decision, the entire city council membership voted unanimously in favor of signing a contract with Southwest Health EMS (“SWH EMS”). One of the most disappointing parts of the “pre-typed” presentation from the city council and their attorney was they failed to present all the facts including the many years of positives this team has brought to the community and continued to bring to the community and there was not one thank you to CCARS during the entire “pre-typed” speech. The presentation portrayed this as an easy decision for the city council members even though off the record a few of the council members stated it was a very difficult decision and off the record there were a few that offered a thank you, as well.
The CCARS team presented a draft contract to the city of Cuba City last fall and has been requesting the city and their attorney to provide any type of feedback, redlines, or to give CCARS an opportunity to sit down and go thru the contract terms to come to an agreement on the contract that would be acceptable. CCARS had the support from the Townships last fall, we just needed the city’s support to move forward. For the first time on Wednesday, March 29 (shortly before the Special Council Meting that determined the fate of CCARS), CCARS President and the CCARS Attorney were allowed a very brief 20-25 minute meeting with the city attorney, mayor, and city clerk. The main question/topic of discussion during this brief 20-25 minute meeting focused on the cost of the CCARS contract compared to SWH EMS. The CCARS President explained the difference in cost which was the cost of having an ambulance stationed within the city of Cuba City with an on call team ready to respond. The fact is, SWH EMS contract does not include this, they will be responding directly from their station located in Platteville. So, for the SWH EMS contract, this comes at a different type of cost, a cost of not having an ambulance stationed in Cuba City. Additionally, the CCARS President explained as we get established as a 501c3 this will open an entire list of grant writing opportunities and the expectation is for future costs to go down rather than go up for our municipalities, but it is also difficult to know future costs of ambulance replacements and the grant opportunities available for this, as well. The CCARS budget was very conservative on the revenue side and did not include these grants since CCARS had not had those grant opportunities in the past operating under the city tax ID. CCARS has always been very transparent with our records and always willing to answer any questions in the most honest and factual manner. So, when it was explained later that evening in the city’s presentation that the city had several meetings with Southwest Health EMS leading up to this evening to come to a final agreement on the terms of their contract, was also quite concerning and very disappointing to the CCARS team. Why wasn’t CCARS given this same opportunity for several meetings?
One of the reasons presented by the city for choosing Southwest EMS was because they staff 3 ambulances that are ready to respond. This is not entirely true, yes they do have 3 ambulances, however, they currently fully staff 2 of those ambulances. And, additional facts the city failed to mention is that one of the ambulances is almost entirely dedicated to providing inter-facility transfers for their hospital and the surrounding area hospitals. Which leaves the other staffed ambulance to serve the SWH EMS district and now that same ambulance will serve an expanded population to include the city of Cuba City. CCARS on call staff and ambulance were intending to go down to one ambulance since volumes no longer warrant maintaining a second ambulance to serve the CCARS district. The other fact that was not mentioned was how many times SWH EMS has needed to request mutual aid in the past year because their resources were exhausted. And, how many times the CCARS EMS Team was paged to respond to the SWH EMS district as mutual aid due to resources being exhausted. So, with SWH EMS taking over the Cuba City district this may leave a new burden for the Dickeyville, Hazel Green, and Belmont Volunteer EMS teams to backup SWH EMS for all the times CCARS had previously covered SWH EMS, as well as providing backup to them for the newly expanded population in Cuba City, as well.
Another point made in the city’s speech was the response time is “only” 30 seconds more than CCARS. One of the facts they failed to mention is that every second counts when it involves delivering onsite patient care and those seconds could impact a person’s life. The other fact the city failed to mention was the average response time of 9.5 minutes which was provided by CCARS was over an entire year which included winter road conditions; and the 10 minutes response time provided by SWH EMS were from a handful of recent calls which were in good road conditions. And, anyone that has ever traveled the road between Platteville and Cuba City during winter conditions will agree this type of response time from SWH EMS may be very difficult during those months.
Another very sad part of this decision is for our two newest members who are currently taking the class to become an EMT. We did reach out to both of these incredible individuals and let them know we will take care of them and continue to support them through their class and then help them get established with another team, as needed.
Our incredibly dedicated, highly trained, and hard working team truly believed the city would see our value and choose to continue allowing us to serve our community. Additionally, we were feeling more confident as we started to receive interest from the community with individuals requesting an application to join our team. We are honored and proud to have brought high quality and compassionate care to every patient we served over the years. Thank you for trusting the CCARS team to be there for you and your families since 1976. We will miss serving our communities, which included all of you, our families, neighbors, and friends. We will also miss the incredible collaboration and partnership we have always had with our local area Fire Departments and EMS teams. Our friendship and teamwork with you all is something we will cherish forever and look forward to seeing the local Fire and EMS teams to continue to do great things for our communities. And, lastly, Thank You to all the Fire and EMS teams across the nation for your many years of service and dedication and for the great things you have done and continue to do for the communities you serve, as well, your countless hours of dedication and service truly make you a super hero.