BB>Complaints about poor response times, bring quicker response times. 
BB>Complaints
BB>about rude EMT's, or EMT-P's, bring better personnel.  Complaints
BB>about improper conduct, bring better conduct.  Complaints about poor
BB>procedures, or standing orders, get better ones in place.
BB>Nothing happens overnight, but it will happen, unless no one
BB>complains about it.
And in my experience a lot of the complaining came from field personnel, 
fire, private, 3rd service, that just could not put up with the lousy 
practices by the management, and cheapness of the funding agencies. I 
know a lot of good men and women who stuck with it during terrible 
times, complaining all the way, sometimes in public, in order to improve 
the system. It is the rare instance where a member of the public 
complains about service in general. They will complain if THEIR 
ambulance is late, but by and large they think that it is an individual 
situation, and are unaware of the problems within the system. It is 
dedicated individuals, working alone or in concert, some of whom 
sacrificed their careers that have made modern EMS as good as it is. 
Certainly not the politicians, managers, administrators, or others who 
are there to take the credit when things go well. I include in the list 
of DOERS some very dedicated MDs that could have made big bucks in 
private practice, but choose instead to buck the hierarchy and agitate 
for better pre hospital personnel and equipment. Their name is legion, 
and we all owe them a huge debt of gratitude. Chances are we will not 
see their names in the big national journals, but they were, and are 
still out there every damn day, fighting to keep the systems going, and 
improve them. 
Gary
ž CMPQwk 1.42 129 žBarfigngen: Car Sickness in a Volkswagen.
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