Rural Nebraskans often wait 25 minutes for an ambulance. (Photo by Jonnica Hill, Unsplash) |
Volunteer fire and rescue squads are common in Nebraskan communities, but "many struggle to replace older helpers. Additionally, as the rural population ages, calls for service are up, adding pressure to the volunteers who remain," Sanderford writes. "Dorn said this means farmers and rural employees leave their jobs more often, making it harder to persuade a generation of young people to help. It's also harder to recruit volunteers from among younger adults who have children at home, busy with activities."
Nebraska is one of three states with the highest rates of rural residents living more than a 25-minute drive from where an ambulance is stationed, according to a national study by the Maine Rural Health Research Center. "More than 76% of the state's counties had some residents living at least that far from a station," Sanderford writes. "Dwyer told State Sen. Ben Hansen of Blair that no state has all the answers for providing rural EMS service. However, he said, many states spend more on addressing the issues than Nebraska. . . . In 2022, South Dakota earmarked up to $20 million for emergency medical services. This money appears poised to boost rural EMS service, from EMT training to helping smaller communities replace old equipment and access telemedicine."
At the hearing, rural first responders "called on the state to pay upfront for training new potential emergency medical responders and medical technicians instead of making them or their volunteer departments seek reimbursement," Sanderford reports. "Angela Ling of the Nebraska Hospital Association stressed the importance of the state seriously discussing the impact on rural rescue squads of inadequate Medicare and Medicaid reimbursements that leave EMS agencies fighting to make up the differences."
"One testifier, Wahoo EMS director Grant Anderson, called on the state to address in state law which levels of government should shoulder what costs of emergency medical services," Saderford writes. "Wahoo, pop. 4, 800, and Ashland, pop. 3,100, provide EMS services beyond the city limits, but only city taxpayers pay the costs beyond what fees cover. . . . Nebraska state law requires EMS service as an essential service, but it does not specify which level of government should fund the service." Commenting on the state's plans, Ling told Sanderford: “I do not have the solution but hope this is the beginning of a conversation.”
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