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Public Testimony

Variale says FDNY treats EMS as subordinate despite medical call volume

New York City Council · Oct 20, 2026 · starts 3:06:30 · 2 min 25 sec

Variale says low wages and high response times stem from FDNY failing to treat EMS as a co-equal uniformed branch. He says EMS responds to 1.6 million calls with about 25% of staffing while fire handles about 500,000 calls with 13,000 personnel, and EMS receives about 16% of the FDNY budget.

Member of the Public - Vince Variale

The problem is not just low wages.

Member of the Public - Vince Variale

The low wages and high response times are caused by the FDA's failure to properly recognize EMS as a co-equal branch of its uniformed emergency response system.

Member of the Public - Vince Variale

This is a dangerous to the public and discriminates against members of EMS who are the most diverse of the first responders in the 911 system.

Member of the Public - Vince Variale

The majority of the calls that both fire and EMS respond to are medical.

Member of the Public - Vince Variale

Let me say that again.

Member of the Public - Vince Variale

EMS and fire respond to the same emergencies.

Member of the Public - Vince Variale

85% of them are EMS calls and less than 2% are fire calls.

Member of the Public - Vince Variale

The majority of the calls that firefighters respond to are to provide medical care in non-fire medical emergencies.

Member of the Public - Vince Variale

While firefighters have less training and qualifications and provide lesser skills on these calls,

Member of the Public - Vince Variale

EMS responding to the same calls while providing advanced life-saving care are paid half that of firefighters.

Member of the Public - Vince Variale

On top of this, EMS with 25% of the staffing are forced to handle 1.6 million calls annually.

Member of the Public - Vince Variale

while fire with a staffing of 13,000 handled closer to 500,000 calls.

Member of the Public - Vince Variale

Meanwhile, fire receives approximately 84% of the FDNY's budget, while EMS is given approximately 16% of the budget.

Member of the Public - Vince Variale

This means that while we are paid half of what firefighters are paid to respond to emergencies, our fire counterparts enjoy the luxuries of firehouses, recreational facilities, state-of-the-art kitchens, and sleeping quarters.

Member of the Public - Vince Variale

While we in EMS are left on the street corners, forced to sit in a cab of an ambulance for 8 to 12 hours, responding back-to-back to emergencies, often without even opportunity to properly clean up or, God forbid, take a bathroom break.

Member of the Public - Vince Variale

Imagine the emotional and physical toll this has on members.

Member of the Public - Vince Variale

It is easy to understand how this stark difference in treatment negatively affects the morale and has EMS leaving the job.

Member of the Public - Vince Variale

We can't look away from the cause of the problems we are here to discuss.

Member of the Public - Vince Variale

It is not about EMS efficiency.

Member of the Public - Vince Variale

EMS are highly efficient and somehow miraculously are able to handle 10 times the core volume of fire.

Member of the Public - Vince Variale

It is not about traffic.

Member of the Public - Vince Variale

Traffic has always existed.

Member of the Public - Vince Variale

The problem is when you have to send a unit from Manhattan to Staten Island to respond to an emergency due to understaffing.

Member of the Public - Vince Variale

That is going to slow down responses, increase response times, and we can't blame EMS or look to EMS to continue to shoulder the solution.