In this episode, we explore a pivotal era from the book EMS in the United States: Fragmented Past, Future of Opportunity. The 1980s and 1990s marked a time when the vision for a unified EMS system seemed to crumble faster than progress could be made. Economic pressures, the Omnibus Budget Reconciliation Act, inflation, and the loss of unified leadership led to the rise of local systems and heroes fighting to salvage the vision of pre-hospital care. Join us as we examine the fractures that shaped EMS during these challenging decades and how resilience emerged from fragmentation.

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