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Public Testimony

David Cook testifies for EMS PAC on staffing and pay crisis

New York City Council · Sep 18, 2026 · starts 2:49:15 · 8 min 32 sec

David Cook of EMS PAC, an FDNY paramedic and lieutenant, describes critical ambulance shortages with 10-30 minute response times, low pay driving mass exodus from the field, EMS workers considering striking, and calls on the City Council to address the emergency staffing crisis, noting $50 million in state EMS funding was redirected to firefighters.

Member of the Public - David Cook

Sorry to do this, I'm sorry.

Member of the Public - David Cook

First of all, I just want to say good afternoon.

Member of the Public - David Cook

My name is David Cook.

Member of the Public - David Cook

I represent EMS PAC.

Member of the Public - David Cook

I'm a paramedic and I'm also an active lieutenant with the Fire Department of New York City.

Member of the Public - David Cook

Before we start, I want to say thank you to everybody in this room.

Member of the Public - David Cook

The reason I'm saying thank you to everybody in this room is because I know what it's like to pick up patients who have disabilities and I want to tell everybody with disabilities, you are superheroes and you are inspiration to me and others and I want to say thank you for that.

Member of the Public - David Cook

I know it's hard for you with disabilities, but I tell you, I respect you.

Member of the Public - David Cook

I also...

Linda Lee

I'm sorry.

Linda Lee

Go ahead.

Member of the Public - David Cook

Yeah, the EMS.

Linda Lee

EMS?

Member of the Public - David Cook

Yeah.

Member of the Public - David Cook

Yeah.

Member of the Public - David Cook

Yeah.

Member of the Public - David Cook

Yeah.

Member of the Public - David Cook

Please continue.

Member of the Public - David Cook

No, no, it's okay.

Member of the Public - David Cook

It's all right.

Member of the Public - David Cook

I also want to thank you guys as well because you guys, by making sure these elderly people get the money that they need, I know what it's like for these elderly patients who have Alzheimer's and other diseases, and they don't even have people to help them.

Member of the Public - David Cook

So the fact that you guys are going to be able to give them more income is phenomenal.

Member of the Public - David Cook

I want to say thank you.

Member of the Public - David Cook

The reason why we're all here is these are a bunch of FDNY EMTs and paramedics and a bunch of Hospital 911 EMTs and paramedics, and they're super here.

Member of the Public - David Cook

I want to say thank you to everybody on this panel.

Member of the Public - David Cook

I represent EMS PAC.

Member of the Public - David Cook

We're a nonprofit organization.

Member of the Public - David Cook

You can follow us on Instagram or Facebook.

Member of the Public - David Cook

The reason why we're here and we're here in numbers is because New York City has a crisis and it's an emergency.

Member of the Public - David Cook

And I'm being very honest.

Member of the Public - David Cook

I didn't come here just to talk lollygag stuff.

Member of the Public - David Cook

I'm being honest with you guys from the heart now.

Member of the Public - David Cook

The truth is we do not have enough ambulances out there on the streets.

Member of the Public - David Cook

I've been with, let me give you my background first.

Member of the Public - David Cook

I became an EMT in 2006.

Member of the Public - David Cook

I worked in New Jersey for Nationwide Ambulance and also Bell and Mobile Vital.

Member of the Public - David Cook

I became an FDNY EMT in 2008.

Member of the Public - David Cook

I became a paramedic in 2010.

Member of the Public - David Cook

I got upgraded with FDNY as a paramedic in 2011.

Member of the Public - David Cook

I also won numerous EMS competitions.

Member of the Public - David Cook

I was a paramedic instructor for New York Methodist Hospital, and I'm currently a paramedic instructor for LaGuardia College right now.

Member of the Public - David Cook

So anybody who wants to be an EMT and paramedic, I suggest you come to LaGuardia, and I want to say thank you to my colleagues.

Member of the Public - David Cook

At LaGuardia because they're phenomenal instructors.

Member of the Public - David Cook

The reason why we're here is because I know what it's like to have to be in Brooklyn, and they'll call me for a cardiac arrest.

Member of the Public - David Cook

That means somebody's heart is not beating.

Member of the Public - David Cook

Now, I'm going to break things down simple.

Member of the Public - David Cook

You have a bunch of cells in your body, right?

Member of the Public - David Cook

And guess what?

Member of the Public - David Cook

In four to six minutes, when your heart stops, those cells start to die.

Member of the Public - David Cook

And guess what?

Member of the Public - David Cook

When somebody's in Brooklyn and there's a cardiac arrest in Staten Island or there's a cardiac arrest in the Bronx and there's not enough ambulances, we need you guys on the council to help fix this because we also advocate for the public.

Member of the Public - David Cook

Now, the big thing that while we're here, too, is because we have issues beyond just not the retention rate.

Member of the Public - David Cook

The fact that we don't even have budget to get equipment.

Member of the Public - David Cook

Kathy Hochul passed a bill for $50 million to get passed.

Member of the Public - David Cook

I'm going to keep going out of your respect and my colleagues as well.

Member of the Public - David Cook

Kathy Hochul passed a bill for $50 million for EMS, and the firefighters took that bill, and they took the money and used it for their equipment.

Member of the Public - David Cook

We do not have the right resources or the right enough manpower to get to you guys.

Member of the Public - David Cook

And because of these issues with the low pay on top of that, I'm telling you guys right now, this is the emergency why we're here for New York City.

Member of the Public - David Cook

EMS is having talks now, and this is in all garages, every station to station, all the five boroughs.

Member of the Public - David Cook

We do not care about the Taylor Law Act, and EMS people are talking, and they are considering to strike.

Member of the Public - David Cook

And this is for Mandami and for City Council.

Member of the Public - David Cook

And I'm telling you guys right now, you do not have enough resources as it is right now.

Member of the Public - David Cook

People in New York City are dying every day.

Member of the Public - David Cook

So I want to thank you.

Member of the Public - David Cook

I want you to put yourself in the situation.

Member of the Public - David Cook

We're going to speak and be honest now.

Member of the Public - David Cook

I want everybody to wake up.

Member of the Public - David Cook

I don't care about egos.

Member of the Public - David Cook

The truth is, you go down right now.

Member of the Public - David Cook

You want to hit the clock?

Member of the Public - David Cook

Call 911 and say somebody's heart stopped.

Member of the Public - David Cook

I bet you it's going to be 10 to 15 minutes.

Member of the Public - David Cook

FDNY's been lying up here with their stats.

Member of the Public - David Cook

It's not five to six minutes.

Member of the Public - David Cook

There's not enough ambulances and people are dying in New York City.

Member of the Public - David Cook

Guess who has to take the loss?

Member of the Public - David Cook

It's us.

Member of the Public - David Cook

We take it home because we care about saving you guys.

Member of the Public - David Cook

So I'm telling city council, we had to crash the party because there's an emergency going on.

Member of the Public - David Cook

Yes, NEMS.

Member of the Public - David Cook

And this is for Mandami and all of you.

Member of the Public - David Cook

No disrespect, but it's for all of you and your colleagues.

Member of the Public - David Cook

I'm speaking to the people.

Member of the Public - David Cook

You took an oath.

Member of the Public - David Cook

If somebody takes a flight from Florida to come see New York City for the first time and they drop dead, 20 minutes for an ambulance, 30 minutes for an ambulance.

Member of the Public - David Cook

Imagine getting a cardiac arrest right here going to the Bronx.

Member of the Public - David Cook

How long do you think it's going to take for me to get there?

Member of the Public - David Cook

People are dying in New York City.

Member of the Public - David Cook

And I want to address FDNY personally.

Member of the Public - David Cook

FDNY is run by Commissioner Lillian Bonsignor, who under her administration was hired by Mandami.

Member of the Public - David Cook

Guess what?

Member of the Public - David Cook

She hasn't done anything.

Member of the Public - David Cook

She was the reason why COVID, hold on one second, please.

Member of the Public - David Cook

She was the reason why COVID situations happen and other things.

Member of the Public - David Cook

And I just want to say, no, no, thank you, thank you, thank you.

Susan Zhuang

Please respect other people's time.

Susan Zhuang

I understand your concern.

Susan Zhuang

And also, we will address your issue later.

Susan Zhuang

And this is for this hearing for senior.

Susan Zhuang

I personally really appreciate all the EMS workers.

Susan Zhuang

And as a council member and with my colleagues, we also...

Susan Zhuang

understand EMS doesn't pay enough.

Susan Zhuang

EMS worker did not pay enough.

Susan Zhuang

Your salary is very low.

Susan Zhuang

For me, it's a big issue.

Susan Zhuang

But today we have hearing on screen and the tree.

Susan Zhuang

We will have a separate, probably have separate hearing or something to address this issue.

Susan Zhuang

Thank you.

Member of the Public

Councilmember, with all due respect, the reason why all of us are here is that the understaffing of EMS is leaving older and disabled New Yorkers highly vulnerable.

Member of the Public

As David was mentioning, there are not enough ambulances in the system.

Member of the Public

I've been an EMT for three years, and the response times are only increasing.

Member of the Public

It is incredibly difficult for us when we have to respond to

Member of the Public

a potentially life-threatening emergency, and we're half an hour away, and we know that person might not make it by the time we get there.

Member of the Public

They might be in a really unstable or potentially unsalvageable condition.

Member of the Public

All of us, you know, we don't want to...

Member of the Public

How do I say this mildly?

Member of the Public

There are simply not enough ambulances, EMTs, paramedics in the system to properly take care of people.

Member of the Public

And that is leaving New Yorkers vulnerable to a wide variety of conditions.

Member of the Public

We believe that there needs to be way more increase in training, increase of

Member of the Public

staffing for all EMS personnel, because the reason is right now for understaffed or normal operation level, think about when there's a crisis, when there's a natural disaster like a flood,

Member of the Public

a pandemic, a terrorist attack, then New Yorkers are going to be even more vulnerable to death.

Member of the Public

Thank you for your time.

Linda Lee

Sorry, if I could just interject also, because I don't know if you all were at the finance hearing, the executive committee hearing in May,

Linda Lee

but there was, I would say, probably the longest portion of the testimony was focused on a lot of our EMS workers and how important pay parity is and salaries are.

Linda Lee

And I have to say the...

Linda Lee

The folks that were head of the agencies actually gave a very, in case you guys were all planning on saying this, because we do want to try to stick to screedry, but

Linda Lee

they actually gave us very insightful information on exactly what you were saying about calls, ambulances having to be shifted around, and if one moves here, then there's a lack of one here, and then if there's a call here, and what that does in terms of response time.

Linda Lee

And as former chair of mental health disabilities and addictions, be heard was something that was very important to me as a social worker.

Linda Lee

I totally understand.

Linda Lee

I actually went to the site in Bay Terrace that does the trainings in Fort Totten, and I have to say that was very eye-opening as well.

Linda Lee

And so I understand the outreach teams are super, super critical.

Linda Lee

And so that is something that I just wanted to emphasize that on the council we've really been trying to fight for is increasing the salary levels of our EMT and EMS workers because we know how valuable you are.

Linda Lee

So I just wanted to say that up front because I know that, you know, for the public test.

Linda Lee

testimony portion, we do want to try to stick it to the topic.

Linda Lee

But maybe if the chairs are okay, if we can maybe briefly have you just go through what you had written and then just respect the two minute time if possible.

Susan Zhuang

Please only two minutes every time, every person, and also please stick on the topic.

Susan Zhuang

I understand your frustration.

Susan Zhuang

I'm with you.

Susan Zhuang

But today we are more focused on screen energy.

Susan Zhuang

Thank you.