11/14/2021
Falck is following AMR in San Diego - a difficult to serve area historically - complicated by the San Diego Fire Fighters wanting to do the full job - but a city council that won't give it back to them for reasons dating back to a labor strike more than 50 years ago. AMR, by its acquisition of Rural/Metro, inherited a problem that happened under Rural/Metro's watch. Falck will most likely face the same challenges as Rural/Metro did - only time will tell. Add to it, forthcoming changes in Medicare will reduce the number of "medical" patients that will be transported in any 9-1-1 system. AMR's loss of San Diego may be a blessing in the end for the national company. What the public fire service is not understanding is the coming changes in Medicare will change the call loads. The profits that fire chiefs think reside in ambulance transport are simply not there, in part, because fire departments want to staff ambulances with firefighters to increase their suppression ranks - personnel whose pension programs and pay cost far more than a civilian ambulance operation. In the end, is it about an effective emergency medical system or is it about fire departments thinking they can create revenue streams that feed department budgets and justify more sworn positions?
Falck USA has met nearly all of the city's three dozen criteria, which includes hiring 360 paramedics and EMTs, and securing new ambulances and technology