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1 - 20 of 26 Comments Last updated Sep 6, 2013
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Perry

Waynesboro, TN

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#1
Jan 17, 2012
 
the County can save a lot of cash by going to a private ambulance service the county can save over $ 600,000 a year the county started this service for one person thats not wright i have heard only bad things about this service whats up with that?????Im talking about Perry County
PC citizen

Charlotte, NC

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#2
Jan 17, 2012
 
You hit the nail on the head. Just another example of expanding government (county in this case) and increased unnecessary spending. This, instead of taking bids from multiple private EMS systems and allowing the free market to save us some much needed money. We do not have a tax base for this and we should have been allowed to vote on it. Instead this huge expense was shoved down our throats to provide a job for a politician.
Perry

Waynesboro, TN

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#3
Jan 17, 2012
 
Who was the private EMS that ran Perry county before this JOKE Service and can we get them back. One more what did the County Pay them to run Perry.
PC citizen

Charlotte, NC

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#4
Jan 18, 2012
 
ASI. They probably would return but the county could do better. At one time the subsidy was around $100 to $150 thousand. They were not that great but there are several other services in the area to be considered. I understand that many charge nothing just to obtain insurance contracts for appointments but 911 calls are still the priority.
Just Here

Linden, TN

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#5
Jan 18, 2012
 
You are all missing the mark. The EMS service was started because the outside firm was practically doubling their rates. Other counties were consulted who had their own service and how much money it made for the county. It wasn't started for one person, but that person has never been able to win a popularity contest, and has managed to irritate a lot more than he made happy.

So this is one argument none of you are going to win, since the money the county has made has greatly increased the county coffers. The question to ask is, what will happen if there is just one lawsuit against the county for malfeasance? Not only will that surplus be depleted, but the county could be bankrupt.

Here is a link to the definition of malfeasance:
http://www.thefreedictionary.com/malfeasance
Perry

Waynesboro, TN

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#6
Jan 18, 2012
 
private EMS would save the county over $400,000 they could spend it on other things that the county needs
E

Denver, NC

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#7
Jan 18, 2012
 
Sounds like you all should attend county meetings and voice your concerns
PC citizen

Denver, NC

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#8
Jan 18, 2012
 
JUST HERE. Sorry, you are wrong. I am right. If the service was not created for "the one person", then why was it given to a person who could not have been more unqualified. If by some miracle the ambulance service is not "in the red", it is because the employees receive no health/dental insurance or benefits that I am aware of. The employees that work for there (especially the paramedics) are educated people who went to a college or university and they deserve benefits and a significant pay increase. Given the opportunity, the paramedics will leave for benefits and increased pay then we will be up s**t creek. Many private services offer competitive pay and benefits and if PC finds itself with a shortage of paramedics, a large private service would have a larger pool of personnel to pull from. Without paramedics there is no ADVANCED life support.
PC citizen

Denver, NC

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#9
Jan 18, 2012
 
Many counties can afford to have a county ambulance service because they have a TAX BASE and the service has been established for many years with competitive pay and benefits. They also know how to collect revenue. We have no tax base and most of the people who live in PC that work, work outside of PC. They also spend their money outside of PC. Because, what is there to buy here besides a poor selection of of overpriced groceries? Can anyone honestly deny that this is the worst possible time to be experimenting with money that we don't have?
E

Clover, SC

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#10
Jan 18, 2012
 

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PC citizen wrote:
Many counties can afford to have a county ambulance service because they have a TAX BASE and the service has been established for many years with competitive pay and benefits. They also know how to collect revenue. We have no tax base and most of the people who live in PC that work, work outside of PC. They also spend their money outside of PC. Because, what is there to buy here besides a poor selection of of overpriced groceries? Can anyone honestly deny that this is the worst possible time to be experimenting with money that we don't have?
Take yourself to the courthouse an request the financials on the EMS service. It's public record. So get the facts about the cost and the surplus
E

Clover, SC

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#11
Jan 18, 2012
 

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Then I'd say take it up with your county commissioner if you have questions or problems. Or any commissioner for that matter. Surely one of them would help u answer your questions.
Hacker

Waynesboro, TN

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#12
Jan 28, 2012
 
If Perry County is hurting for cash why did they spend to start County EMS they had a good Private EMS service for less then $ 200,000 im just asking and its not run like a EMS service?????
BoyHowdy

Lewisburg, TN

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#13
Jan 29, 2012
 
Going with a private EMS service may be cheaper, but like the old saying goes, "You get what you pay for." Private services are for profit businesses that care less about patient care and more about money. Instead of locals who know the area, you get out of towners with no idea where anything is, and most have very limited emergency experience; they are shifted in from the convalescent end of the business where the real money is. Trust me, if you take an EMT or Paramedic with 2 years of experience in shuffling nursing home patients to dialysis and put them beside Techs who have been working for 911 services, the Techs with real-world 911 experience are the ones you want.

Not all private services offer benefits either, and if they do, they are so expensive that the employees can't afford them on their low wages. Unhappy employees equals crappy patient care too. I came from the EMS business and could tell you some outright horror stories about the private companies running county services.

Folks, it cost a lot of money to get your service started; the private services lull counties into NOT providing units because the know that if they didn't, the counties could boot them at the drop of a hat. If there are no county owned units, the cost alone for them usually keeps the county in the private category. If a service is started, and run well; insurance is billed properly, etc., it is a VERY good thing for a county to have. In the years that come, if billing is proactive, the costs will be absorbed, and the initial shock of the start-up will be a thing of memory. Had I been your commissioners, the only thing I would have done differently would have been to hire an experienced 911 Paramedic as the director. You need that experience at the head of the agency. A new EMT cannot really tell a Paramedic what to do other than on a personnel standpoint, and they don't have the knowledge to know if the Paramedic needs to improve their standard of care or not.
Archy

Waynesboro, TN

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#14
Jan 30, 2012
 
well you are right about one thing they should got a Paramedic as director but they still have employees that are not from Perry county i know one for a fact is not from Perry County but i dont use the service i dont trust them but thats not the point the point is the cost if we are hurting for money look around and see how much it would cost to get a GOOD private EMS service back in here or look at making cut to the EMS Service
mac daddy

Waynesboro, TN

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#15
Oct 3, 2012
 
WE NEED THE PRIVATE EMS SERVICE BACK IN PERRY COUNTY I WOULD GIVE SOME OF MY LAND TO THE SERVICE TO BUILD THEIR STATION ON THE WORKS THE COUNTY HAS NOW I WOULD GIVE THEM A PINK SLIP AND HAVE NEW WORKER COME IN
Dead Ringer

Waynesboro, TN

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#16
Oct 4, 2012
 
First of all it's the only county dept that is self substaining. ASI was charging the county 200,000 a year for poor service and nobody had any control over it the at least now if you do have a concern you can voice your opinion and be heard i dont know how your math works but if you go from paying 200,000 to self supporting even putting money back in my thoughts are we're all better off
mac daddy

Waynesboro, TN

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#17
Oct 6, 2012
 
my math it fine ok ASI got $200,000 now Perry Co. EMS gets Close to $800,000 and the service is not any better both sevice pick up my wife and YES ASI was better ASI had A Paramedic and the Perry Co. EMS did not
Concerned

Charlotte, NC

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#18
Oct 8, 2012
 
mac daddy wrote:
my math it fine ok ASI got $200,000 now Perry Co. EMS gets Close to $800,000 and the service is not any better both sevice pick up my wife and YES ASI was better ASI had A Paramedic and the Perry Co. EMS did not
Don't have any idea what was wrong with your wife but usually EMS anywhere will send a basic crew or EMTs out on a routine transport. This happens everywhere not just here . So if while the basic truck is out taking someone back to the nursing home and someone has a true medical emergency the truck with the paramedic will be available to respond. If you are here in the hospital and are sent to Nashville it is the MDs decision whether you are sent ALS advanced life support with a paramedic or BLS basic which only requires an EMT.
ANOTHER PC PERSON

Waynesboro, TN

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#19
Oct 12, 2012
 
Concerned wrote:
<quoted text> Don't have any idea what was wrong with your wife but usually EMS anywhere will send a basic crew or EMTs out on a routine transport. This happens everywhere not just here . So if while the basic truck is out taking someone back to the nursing home and someone has a true medical emergency the truck with the paramedic will be available to respond. If you are here in the hospital and are sent to Nashville it is the MDs decision whether you are sent ALS advanced life support with a paramedic or BLS basic which only requires an EMT.
WHY DONE PERRY COUNTY HAVE AN 'A'SERVICE NOW? BECAUSE THEY DON'T SEND PARAMEDICS ON 80% OF THE CALLS AS THE STATE OF TENNESSEE SAID THEY HAD TOO. iT COUST TO MUCH TO GET GOOD PARAMEDICS AND KEEP THEM. THE 'A' SERVICE IS AN EMT-IV AND A EMT-P ON 80% OF ALL THE RUNS. THAT NOT GOING TO HAPPEN HERE NOW IT WILL TAKE MONEY AWAY FROM SOMEONE. wHY DOES NOT THE COUNTY COMMESSIONERS WEAK UP. THERE ARE FOUR (4) AMBULANCES IN PERRY COUNTY BUT FOR SOMEW REASON ONLY TWO CAN BE MANED WHY.
local

Linden, TN

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#20
Mar 8, 2013
 
The service is "A" rated.

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