Understaffed and underfunded for the last decade, throw in a pandemic and an opoid crisis, this is what happens.
AHS just doesn't have enough resources. EMS can't get there faster because they don't have enough units. rural towns are left without coverage because their trucks get pulled into the cities for hospital transfers or even for calls. Half their units are stuck waiting at the hospital with patients because the hospitals don't have the resources to admit patients in a timely manner. Government is content going "Hur durr it's because of centralized dispatch, and healthcare workers get paid too much!" then offer no actual solution
Retroactive wage cuts is a joke, it's a wonder we even have any paramedics still working at this point
This post from a CP paramedic was awesome and did a good job explaining some of the issues, but it's from an old RGMG thread that seems to be archived or deleted so it no longer exists