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Q&A

Brewer asks for the single biggest EMS problem; Esposito says staffing

New York City Council · Oct 20, 2026 · starts 1:52:53 · 1 min 39 sec

Brewer asks for the elevator pitch on what needs to be addressed, citing pay, lack of ambulances, and traffic. Esposito says staffing is the overwhelming issue and that EMS must become a career, which depends on fixing pay.

Gale A. Brewer

And then just finally, I think my question is just generally, what is it that you, I mean, is it?

Gale A. Brewer

All combination of the challenges.

Gale A. Brewer

It's the pay.

Gale A. Brewer

It's the lack of ambulances.

Gale A. Brewer

I assume it's traffic also.

Gale A. Brewer

What is the combination just in sort of like the elevator pitch as to what needs to be addressed on this?

Gale A. Brewer

Because it is really making people in the communities frightened and scared.

John Esposito

It is the staffing issue is, in my opinion, the overwhelming, the biggest issue.

John Esposito

We have to make sure to make EMS a career, right?

John Esposito

That people go there for a career, not that just go in there until they're waiting to do something else, waiting to go to fire, waiting to go to sanitation, waiting to get another job.

John Esposito

And we believe, and the commissioner strongly believes, that if we address the pay issue, we will have people that come here for a career and stay.

John Esposito

And, you know, there's a big difference between getting somebody that has taken a training class and has a little bit of experience to somebody that's been doing this for 10 or 12 or 15 years, right?

John Esposito

They are very experienced paramedic or EMT.

John Esposito

Just by looking at you and getting you to say a couple of words, has a very good chance of properly diagnosing you.

John Esposito

And that takes years of experience to get that.

John Esposito

And that is what our goal is.

Gale A. Brewer

All right.

Gale A. Brewer

We all agree with that one.

Gale A. Brewer

Thank you very much.