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Insider analysis: Wash. invests in EMS growth after federal funding falls through

With call volumes up 55%, Walla Walla shifts to local funding to add EMTs and paramedics

What happened: The city of Walla Walla, Washington, has approved an increase in ambulance billing rates and a modest tax hike to fund long-overdue EMS staffing expansions. With emergency calls rising by 55% over the past two decades, the city has struggled to keep up with demand. Efforts to secure federal funding through FEMA were unsuccessful, prompting officials to seek a local funding solution.
Starting in 2025, Walla Walla residents will pay an additional $3 per month (or $36 annually), gradually increasing to $14 per month by 2029. The revenue will be used to hire three additional EMTs or paramedics, ensuring better coverage and response times.

| More: Wash. officials increase ambulance billing rate to hire new EMTs, paramedics

Highlights

Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this development, including:

  • The funding gap and rising call volume. Despite a 55% increase in EMS demand, Walla Walla’s staffing levels have remained unchanged for over 20 years, putting strain on first responders.
  • The community’s investment in EMS. With federal funding unavailable, the city opted for a minor tax increase, emphasizing that emergency services require sustainable financial support.
  • The real cost of EMS services. The increase equates to less than the cost of a fast-food meal, yet it provides essential staffing and better response times – offering a small price for a critical service.

The path forward

Walla Walla’s approach reflects a broader challenge in EMS funding – balancing public safety needs with financial realities. As communities nationwide face increasing call volumes and resource shortages, sustainable funding solutions like this one may become more common. While no one likes higher taxes, ensuring reliable EMS services requires financial commitment. The key takeaway? Emergency medical care is essential, and communities must decide how to support it effectively.

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Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C

Ed is a managing partner and chief executive officer of Overrun Productions, LLC; and co-host of The Overrun Podcast. Ed is a recovering medical student and paramedic.

His academic interests are in healthcare policy, team leadership and development, resuscitation and EMS medicine. Before attending medical school, he was a field preceptor and EMS educator for 10 years.

A second-generation paramedic, Ed works to inform the public about the importance of EMS and strives to encourage other EMS providers to move the profession forward using the most up-to-date data and technology.

He is a fan of old movies, the New Jersey Devils and the Philadelphia Eagles.

Daniel Schwester, MICP

Daniel Schwester has been a paramedic since 2000. He has served in a variety of roles including education, field training, clinical supervision and active practice as a paramedic.

He is the managing partner of Overrun Productions, LLC; and a co-host of The Overrun Podcast.

He is married to Jennifer, and is father to Caroline and William. He resides in Toms River, New Jersey.