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A Midwestern mayor--who happened to be involved in discussions about merging fire and EMS services with neighboring communities--recently had a heart attack. Grateful for the quick response of the paramedics, he admitted that at the time, the name on the side of the ambulance was irrelevant. What was important was the speed of their response and the treatment he received, which resulted in his full recovery.
The current fiscal environment is forcing local governments to transform the way they do business. Less funding is available at the state and federal levels, leading to a severe "trickle down" process. Local revenue sources ...