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Q&A

Union leaders add attrition and training-cost numbers

New York City Council · Oct 20, 2026 · starts 3:25:03 · 5 min 35 sec

Almojera says FDNY is now losing officers to the fire class, taking experience out of EMS. Greco says it costs $45,000 to train an EMT and $100,000 to train a paramedic, and that the city has spent millions training people who leave for other services.

Member of the Public - Anthony Almojera

Can I give you one more number?

Member of the Public - Anthony Almojera

It's been brought up about this transfer to fire.

Member of the Public - Anthony Almojera

They call it a promotion.

Member of the Public - Anthony Almojera

We are now losing officers to the fire class.

Member of the Public - Anthony Almojera

So you talk about experience.

Member of the Public - Anthony Almojera

The experience strength has been traditionally the officers that has gone down over the years.

Member of the Public - Anthony Almojera

And now people have moved up three ranks.

Member of the Public - Anthony Almojera

And they're going into the fire class because they don't make enough money here.

Member of the Public - Michael Greco

And we bring numbers since we moved to training.

Member of the Public - Michael Greco

The chief of the department in his testimony with the promotion cycle of 358 EMTs, 63 paramedics.

Member of the Public - Michael Greco

Numbers help.

Member of the Public - Michael Greco

OLR's numbers, it costs $45,000 to train an EMT.

Member of the Public - Michael Greco

It costs $100,000 to train a paramedic.

Member of the Public - Michael Greco

So that means this year we've thrown $22.3 million into training and sent them over to another service.

Member of the Public - Michael Greco

We have done the same amount of calls this year that we have done last year.

Member of the Public - Michael Greco

The reimbursement rate this year is down $50 million, and they wanted to know why.

Member of the Public - Michael Greco

Well, when you're holding jobs for three, four hours, and then you're making a phone call that says, hey, you still need us?

Member of the Public - Michael Greco

You're not billing for that.

Member of the Public - Michael Greco

So if for.

Member of the Public - Michael Greco

No other reason.

Member of the Public - Michael Greco

You don't care about a life.

Member of the Public - Michael Greco

You don't care about nothing else.

Member of the Public - Michael Greco

You just wasted $75 million on poor management.

Member of the Public - Michael Greco

We all know the city of New York has policies, has bureaucracies.

Member of the Public - Michael Greco

But if the FDNY EMS system was run as a Fortune 500 company, we would be bankrupt.

Member of the Public - Michael Greco

It would be, it's terrible.

Member of the Public - Michael Greco

Your stat of putting a human life to this is why we're having positive discussions.

Member of the Public - Michael Greco

We've been up 22 years talking about our members homeless.

Member of the Public - Michael Greco

Nobody seems to care, not because they don't care about the individual, because the system won't let it done.

Member of the Public - Michael Greco

Why are we having positive conversations?

Member of the Public - Michael Greco

Because in your district, in your district, in your district, people are hurting or dying.

Member of the Public - Michael Greco

My colleagues mentioned how we have real-time stats.

Member of the Public - Michael Greco

I got a call right now.

Member of the Public - Michael Greco

It's called a gynecological hemorrhage, which means there is a woman bleeding possibly from that area.

Member of the Public - Michael Greco

She's been sitting in a lobby for two hours right now.

Member of the Public - Michael Greco

That's the stat right now as I look at the phone.

Member of the Public - Michael Greco

So the fire department is going to come up here and say, this is a non-critical injury.

Member of the Public - Michael Greco

This is New York City.

Member of the Public - Michael Greco

This is not a math problem that I need Albert Einstein to solve.

Member of the Public - Michael Greco

Fire has a five-minute response time because they got 13,000 personnel that deal with 100,000 fires.

Member of the Public - Michael Greco

They are so overstaffed that they can do the overflow of 400,000 medical calls.

Member of the Public - Michael Greco

Give me 15,000 people and anybody and their mother can call 911 and get an ambulance whenever they want.

Member of the Public - Michael Greco

is a crisis in New York City.

Member of the Public - Michael Greco

And eventually, every single one of us in this room are going to have to answer for why people are dying left and right.

Member of the Public - Michael Greco

And that's why we're here today.

Member of the Public - Michael Greco

As Anthony said, as Vinny said, this isn't a crisis that's coming tomorrow.

Member of the Public - Michael Greco

This is going on right now.

Member of the Public - Vince Variale

If I can add to that also, the non-life-threatening calls that they hold, like as you said, two hours, and I don't consider that life-threatening.

Member of the Public - Vince Variale

You're bleeding out.

Member of the Public - Vince Variale

That's not life-threatening.

Member of the Public - Vince Variale

But a non-life-threatening call can very easily turn into a life-threatening call.

Member of the Public - Vince Variale

Nobody's there.

Member of the Public - Vince Variale

And I'm glad you brought up the unknown, the segment, the unknown they classified as a segment four.

Member of the Public - Vince Variale

I don't understand why it's a segment four.

Member of the Public - Vince Variale

It should be higher than that because it's unknown.

Member of the Public - Vince Variale

How do you know it's not a cardiac arrest?

Member of the Public - Vince Variale

I can tell you my personal experience as an EMT.

Member of the Public - Vince Variale

I've had a call that came over as a non-critical injury because the person said, in what I was reading on the computer, the person fell.

Member of the Public - Vince Variale

When I got there, the person fell because they had a heart attack.

Member of the Public - Vince Variale

They were in cardiac arrest.

Member of the Public - Vince Variale

Now it turns into a priority one.

Member of the Public - Vince Variale

And now I got to ask for ambulance, for paramedics and all sorts of more resources.

Member of the Public - Vince Variale

But if you don't know, it should be a higher priority.

Member of the Public - Vince Variale

I would think at least in the top two, three, not a four.

Member of the Public - Vince Variale

Right.

Member of the Public - Vince Variale

Because we don't know.

Member of the Public - Vince Variale

And in that case, that that kid had a stroke.

Member of the Public - Vince Variale

I mean, I don't know how that wasn't reclassified.

Member of the Public - Vince Variale

I can't blame the dispatch system.

Member of the Public - Vince Variale

I know they're trying, working very hard.

Member of the Public - Vince Variale

They're also.

Member of the Public - Vince Variale

Understaffed.

Member of the Public - Vince Variale

So, you know, all this stuff has to go back to we need to support and fund a life-saving service called EMS now to have turned this ship around because it's not going to happen overnight.

Member of the Public - Vince Variale

It's going to take time to do it.

Member of the Public - Vince Variale

So every day we wait, we're going to be waiting longer to get to see the results.

Member of the Public - Vince Variale

So thank you.

Joann Ariola

Thank you so much.

Joann Ariola

Each of your testimonies were so compelling.

Joann Ariola

And if you didn't think that we are in a state of emergency now regarding EMS and the lives that are being lost

Joann Ariola

daily because we don't have enough EMS and ambulances on the street because they are not compensated and cannot be retained, then I hope you know it now.

Joann Ariola

We are in a state of emergency.

Joann Ariola

Of emergency.

Joann Ariola

Thank you so much for your testimony.

Member of the Public - Michael Greco

And I just want to end with this, that we understand this is a difficult problem to solve.

Member of the Public - Michael Greco

And as a union, it's a pretty interesting place to be when everybody agrees with us.

Member of the Public - Michael Greco

So this message goes out to OLR, to the mayor's office, to the office of budget, to city council.

Member of the Public - Michael Greco

The union is here as the answer to your problem.

Member of the Public - Michael Greco

We are willing to work with anybody to get this done.

Member of the Public - Michael Greco

And we hope we can get there before more people die.

Member of the Public - Michael Greco

Thank you.

Joann Ariola

Thank you so very much.