Pay to stay: Why EMS providers are voting with their feet

EMS pay and retention – or the lack thereof – is at the heart of this week’s episode of Inside EMS. Hosts Chris Cebollero and Kelly Grayson tackle a news item out of Dougherty County, Georgia, where a recent exodus of EMS professionals spurred long-overdue pay raises and bonuses. The discussion then shifts to Pickens County, Alabama, where a lack of funding led to a total EMS shutdown. Chris and Kelly explore how underfunded systems collapse under the weight of low reimbursement rates, poor public understanding of EMS costs, and systemic inaction until tragedy strikes. Through real-world examples, the hosts unpack why it’s essential to “vote with your feet” as an EMS professional and how agencies can keep talent by either paying well or fostering loyalty – though they can’t afford to fail at both. If you’ve ever wondered why EMS seems stuck in a financial rut, this episode offers insights that hit close to home. ABOUT THE SPONSOR Whether replacing radio reports, alerting specialty teams, or managing mass casualty incidents, Pulsara simplifies communication. Pulsara scales to meet your dynamic communication needs. From routine patient alerts to managing large-scale emergencies, every responder and clinician connects seamlessly. Familiar yet powerful, Pulsara streamlines your response, from routine transfers to regional disasters. One tool. Every day. Regardless of event. Discover more at Pulsara.com. RATE & REVIEW Enjoying the show? Contact the Inside EMS team at [email protected] to share ideas, suggestions and feedback, or let us know if you’d like to join us as a guest.