One of the things I have learned since I started reading this blog is this; It doesn’t matter if you have free healthcare (tax funded) or private health insurance pay system. It doesn’t matter if you work for the government or a private ambulance service. It doesn’t matter if you work in the UK, US, or anywhere else, EMS is not paid and never will be paid what we deserve and unfortunately many are barely paid enough to make ends meet. (With the exception of that rare true volunteer that considers helping others is payment enough) With the public mindset that it is OK for grown men playing a child’s game can be paid the equivalent of the GNP of a small country while at the same time paying the people that daily protect our lives and property (Police, Fire EMS) poverty wages it is going to be a long time before any significant changes occur in our pay scales. Fortunately for society there is enough of us that consider the enjoyment of what we do is enough to offset the poor wages and benefits. There is always going to be turn over in our profession simply because it is not a job for everyone. Tom’s writing is a good representation of what it is like everywhere. You have to have something special in you (some may call it a defect) to come back day after day for a long time to do this job. Granted, more money would be great and may slow the turn over but turn over will happen. Q