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Q&A

Narcisse asks about incentives and wellness supports for EMS

New York City Council · Oct 20, 2026 · starts 2:46:48 · 3 min 38 sec

Narcisse asks what incentives besides pay FDNY offers and how it addresses mental health and wellness. Miano cites tuition reimbursement, the FDNY Foundation, the EMS Help Fund, union assistance networks, peer support, and counseling services.

Mercedes Narcisse

In the incentive, which I'm very much, you know, from my business background, incentive to keep them within the structure.

Mercedes Narcisse

You give us advice and what we need to do, like what we all can do to let the EMS knows that we love them, we appreciate them, we respect them.

Mercedes Narcisse

How about within the structure itself?

Mercedes Narcisse

What are the incentives that you're giving beside the paycheck to help them, to encourage them to stay within the structure?

Paul Miano

So the department offers a wide variety of different things.

Paul Miano

I guess we can call or consider them incentives.

Paul Miano

Like there is tuition reimbursement for college, right?

Paul Miano

You can work here at the fire department and earn a degree.

Paul Miano

Myself.

Paul Miano

Myself sitting in front of you, earned my bachelor's and my master's degree through the assistance of the fire department.

Paul Miano

So that is one way that

Paul Miano

I guess we can call it an incentive to know that we have that backing.

Paul Miano

We have other agencies like, I'm sorry, not agencies, but we have the FDNY Foundation.

Paul Miano

We have the EMS Help Fund.

Paul Miano

These are all, they all.

Paul Miano

Collaborate and have programs with different type of assistance that they can provide to our members, including the unions.

Paul Miano

The unions have a very substantial network of people who can assist them with financial

Paul Miano

mortgages, you know, attorney, just other life things.

Paul Miano

So when you look at that, and I don't know if we want to call them incentives, but we have these things available within the department, within the unions, within

Paul Miano

organizations that are interested in helping us that you only get by being a part of this department.

Mercedes Narcisse

About wellness, since we're dealing with a lot of stress, especially that kind of work that we do, like in the ER or EMT, to deal with clients, how are we addressing mental health, wellness, encouragement within the structure?

Paul Miano

So the first part of...

Paul Miano

Being able to address that is having someone come forward and say, I need help, right?

Paul Miano

We can acknowledge that somebody may be having an issue and we can say to them, hey, we have these things available for you, like our peer support system, like our counseling service unit.

Paul Miano

We partner with New York City well, right?

Paul Miano

But we have to, people have to accept the help.

Paul Miano

And we are working on breaking that stigma of being a sign of weakness to say something is bothering me.

Paul Miano

You know, I spoke earlier about being able to save a life and deliver a baby, but there's nothing worse than having to look at a parent while you're unable to help their child, right?

Paul Miano

Nothing worse than able to look at a child while you're unable to help their parent or their grandparent.

Paul Miano

I can't tell you throughout my 27-year career how many times on Christmas morning I've worked cardiac arrest under a Christmas tree while families are watching.

Paul Miano

Those are things that will weigh on you for the remainder of your life.

Paul Miano

And it's up to you to be able to say, I need the help.

Paul Miano

And this department is doing, along with the collaboration with the unions, is doing everything possible to be able to get people who need help, help.

Mercedes Narcisse

Thank you.

Mercedes Narcisse

Hero care and hero need care as well.

Mercedes Narcisse

So thank you for your time.

Mercedes Narcisse

Thank you.