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Public Testimony

Amy Effet testifies on EMS staffing shortages and response times

New York City Council · Sep 30, 2026 · starts 6:44:26 · 2 min 39 sec

Amy Effet, an EMT, describes a 45-minute response time to a mental health crisis due to staffing shortages, and urges the council to protect emergency medical infrastructure.

Member of the Public - Amy Effet

Testing, can you hear?

Shaun Abreu

We can hear you.

Member of the Public - Amy Effet

Okay.

Member of the Public - Amy Effet

Good afternoon, members of the City Council.

Member of the Public - Amy Effet

My name is Amy Effet, and for the past five years, I've served as an EMT across two private EMS providers.

Member of the Public - Amy Effet

I'm currently on a break from field service, and taking that step back has given me a very clear view of why so many dedicated, experienced responders are walking away from this profession.

Member of the Public - Amy Effet

When a resident calls 911, they expect rapid, high-quality emergency care, but having spent five years on the street, I can tell you that our system is reaching a dangerous breaking point.

Member of the Public - Amy Effet

To show you what this looks like in practice, last year I was dispatched to a patient experiencing a severe mental health crisis.

Member of the Public - Amy Effet

Because of system-wide staffing shortages and the lack of open units, it took almost 45 minutes.

Member of the Public - Amy Effet

Yes, you heard that right, 45.

Member of the Public - Amy Effet

Just to arrive on scene.

Member of the Public - Amy Effet

By the time we walked through the door, the patient had already injured themselves terribly.

Member of the Public - Amy Effet

That delay wasn't caused by a lack of effort from our crew, it was caused by a system that routinely leaves entire neighborhoods undercovered.

Member of the Public - Amy Effet

We are losing qualified EMTs and paramedics to burnout, unlivable wages, and grueling working conditions faster than we can replace them.

Member of the Public - Amy Effet

On top of that, units are routinely held for hours outside

Member of the Public - Amy Effet

overcrowded emergency departments waiting to transfer care, trapping available ambulances at hospitals when they are needed most on the street.

Member of the Public - Amy Effet

I urge the City Council to protect our emergency medical infrastructure in the upcoming budget cycle, A, by supporting competitive compensation for all EMS to fix the critical retention crisis, not being paid minimum wage.

Member of the Public - Amy Effet

To set hospital offload time limits so units can return to service as soon as possible.

Member of the Public - Amy Effet

When response times lag, our community faces real preventable harm.

Member of the Public - Amy Effet

Protecting our emergency medical infrastructure isn't just an administrative detail.

Member of the Public - Amy Effet

It's a matter of life and death.

Member of the Public - Amy Effet

Thank you for your time and leadership.

Shaun Abreu

All right, so I think there's a...

Shaun Abreu

We have an EMS panel.

Shaun Abreu

I believe you, probably your intention is to testify at an EMS-related hearing.

Shaun Abreu

Is that correct?

Member of the Public - Tirza Crisp

Yes, sir.

Member of the Public - Tirza Crisp

We're here for the management, the worker management oversight.

Shaun Abreu

Yeah, this is a different hearing, which makes sense why we're getting a lot of off topics.

Shaun Abreu

What we'll do is just, if you could just submit your written testimony to the

Shaun Abreu

I mean, if you would like to testify on the issues before us today, you can, but I think what you're speaking about is related to a different hearing.

Member of the Public - Gerardney Williams

Is this public safety?

Shaun Abreu

It is not.

Member of the Public - Gerardney Williams

This is not public safety.

Shaun Abreu

Yeah.

Shaun Abreu

Sorry, it is public.

Member of the Public - Tirza Crisp

It's not fire and EMS.

Shaun Abreu

But it's not fire and EMS.

Member of the Public - Gerardney Williams

Right, but...

Member of the Public - Tirza Crisp

This is regarding public safety.

Member of the Public - Gerardney Williams

Yeah, this is regarding public safety.

Shaun Abreu

Tie it to public safety as much as you can.

Member of the Public - Gerardney Williams

Will do.

Member of the Public - Daryl Reardon

All right.

Member of the Public - Daryl Reardon

Go ahead.

Member of the Public - Daryl Reardon

Proceed.