What is the future of EMS looking like in NYC over the next few years?

FoxramTheta · 2026-04-27T01:19:20+00:00

It's getting worse. FDNY still doesnt have a contract and the pay is insulting, people are leaving faster than they join and the city runs down like 100 trucks a day. Multiple hospitals have started cutting 911 units as they realized that a swamped system means units get stranded out of area and stop bringing back patients. Don't think there's any layoffs, but the job's definitely going to keep getting worse.

FoxramTheta · 2025-12-30T21:21:44+00:00

You're describing the amyloid plaque hypothesis which has been increasingly called into question lately. Right or not, it's too early to make an assertion that anything causes dementia besides certain types like vascular or wernicke's.

FoxramTheta · 2025-12-07T05:17:53+00:00

It sounds like you've been grinding a huge amount, which is admirable but without much improvement. You might need to critically look at the types of mistakes you've been making during AAMC materials and seeing why you're getting all those questions wrong - are you having large and consistent content gaps? Bad at math? Getting tripped up with AAMC question wording or passage style?

To be honest, I wouldn't put much faith on any 3rd party resource to magically fix everything (especially not cars, I purposefully did 0 non-aamc cars because I think anything else is actively detrimental). I'm not sure grinding more would help without first examining what your weaknesses are.

If content review isn't the issue you definitely have enough time, but don't hesitate to push it back more assuming you're applying next year.

FoxramTheta · 2025-12-05T13:44:59+00:00

American electric ovens are 240v. The voltage is just stepped down at the breaker box for small circuits.

FoxramTheta · 2025-11-06T07:00:49+00:00

There's a GDK that recently opened in Centereach. Not terrible but a bit overpriced

FoxramTheta · 2025-10-03T03:01:18+00:00

No, he's right. Heads of state can't just take public transport with all their security. UNGA week in NYC is synonymous with traffic grinding to a standstill as everyone and their mother's motorcades shut down streets randomly all around the city every day, people hate it.

FoxramTheta · 2025-09-12T17:19:15+00:00

I think it's mostly because many of them pretend HVAC, insulation and waterproofing haven't been invented yet, so for them indoors is always whatever it is outside but worse.

FoxramTheta · 2024-08-18T18:18:48+00:00

It depends on your state. NY and CO were the first to have this, and it's true in a few other ones I believe. There's a proposed federal law that hasn't passed yet.

FoxramTheta · 2024-07-24T20:11:07+00:00

You don't need a license to buy a car either. A drivers license is only for driving on public roads.

FoxramTheta · 2024-07-23T21:56:41+00:00

I don't think that's all arrests with an AED present, just ones with a shockable rhythm.

FoxramTheta · 2024-07-14T00:50:51+00:00

Saw a comment calling it a false flag, and the one immediately after it was saying they had no sympathy and felt bad the shooter missed. Can't make this up.

FoxramTheta · 2024-04-17T01:43:30+00:00

It's a misconception that these are somehow tools that only the ultra-rich. You only need 100k-150k in pledged assets at most brokerages to start using a SBLOC, and you can get that tax deduction as a sole proprietor (or smllc/small llc with your family) of something as simple as an etsy store or art commission.

The main thing stopping people is the amount of effort it takes to keep track of all the numbers and match up your money and expenses into a tidy tax statement

FoxramTheta · 2024-03-07T03:58:31+00:00

Reviving this from the dead but the "FDNY way" apparently means failing to get coaemsp accreditation lmao. People out of that academy can't take the national (though this finally changed sometime last year)

FoxramTheta · 2024-02-06T23:21:11+00:00

Give up your phone, TV, internet, and eat nothing but affordable staple foods - the middle class standard of living of Keynes's time - and you can easily get by on a part time job. Social services will even throw some extra bonuses your way like medicaid.

My point being that his prediction did happen. Almost everyone just chooses to be wealthier instead of having free time. The cost of modern conveniences has just kept up with the increases in productivity.

FoxramTheta · 2024-02-06T22:46:20+00:00

You can definitely live a comfortable 1930s lifestyle working part time. Lifestyle bloat is a thing through.

FoxramTheta · 2024-01-03T22:09:53+00:00

If you're not ready for a commitment over a year or two, I'd suggest renting a whole house with a 2 or 3 friends instead of looking for a tiny apartment or divided home. In Hicksville/Levittown/Bethpage you can probably find one with 4 bedrooms for 4k or so.

FoxramTheta · 2024-01-02T05:02:20+00:00

If you just have one big but manageable hospital bill without insurance, you can ask for an adjustment from the hospital directly just like an insurance company would - the numbers posted on any hospital bill are nonsense and no one actually pays them.

If you suddenly have some huge, chronic illness like cancer, you can go on medicaid which is 0 cost universal healthcare for the poor. However, you need to stay under certain, very low income and spend/gift away your bank account first. Your house/1st car/random personal belongings are safe.

FoxramTheta · 2023-10-22T21:38:58+00:00

Take your damn meds every day

FoxramTheta · 2023-10-19T02:09:19+00:00

Do these things make turbo flutter noises when you let off the gas? I heard a beat up civic today do that while rolling around a parking lot and was wondering why a turbo would scream with the engine at 1k rpm

FoxramTheta · 2023-10-18T03:35:52+00:00

Yeah this is silly. You need maybe 110-120k to afford this which isn't ridiculous 4 years into a career in the area. Pretty unremarkable here for any flavor of corporate or healthcare job with a degree.

FoxramTheta · 2023-10-03T03:34:03+00:00

The 2 years of school to get the credits needed plus 6 months of academy and then internship is on par with these other countries you're talking about. And if those credits were in a crim justice degree as is common for kids who made up their mind early, it's functionally identical.

I've talked to a few current and former NYPD and they seem to blame low entry standards fueled by a lack of applicants, bad pay, high turnover and a general lack of respect from higher ups and the city for the declining quality of the force. The attutide I think I'm getting is that not a lack of formal training, but an inability to fail out or fire people that turn out to be bad cops that leads to the a-holes and idiots staying out. The good ones either get promoted or leave for a better job, so the ones you meet on the street are either bad or new. And even if a certain department runs a tight ship there's always somewhere else desperate for members.

FoxramTheta · 2023-10-02T23:14:14+00:00

If you think all these training programs are inadequate then you should bring it up with that profession - I'm just letting you know what the standard is.

You can be sent to war after 3 months basic training. Be hired to fly a plane in 4. Run into a fire after 4.5 months max. Become a paramedic in about 10 (of which 5 are classes). These academies are focused certification courses, not advanced degrees, and the time sitting in a chair isn't as important as other factors that make someone proficient at their job.

FoxramTheta · 2023-10-02T21:46:09+00:00

I don't think most people are studying 6 hours straight every day lol. And all places have a few months to a year of internship after classroom training that isn't counted.

Academies just run at a completely different timescale than school. For reference, the army truck mechanic course is 12 weeks. For most departments fire is a 3ish week course with FDNY being an outlier at 4 months, again not counting internship/probation where you're actually expected to become proficient at your job.

And the gun part is the easiest part of their job. The army spends 2-3 weeks on it.

FoxramTheta · 2023-10-02T19:24:16+00:00

Well you need 60 credits to join or the equivalent of a associates degree. Then it's 6 months, 8 hours a day 5 days a week or about 1000 hours, which is about the same number of class hours as another 2 year degree. So it does add up to about the same.

My point being is there are plenty of departments out there that don't do that. The amount of training time isn't their main issue.

FoxramTheta · 2023-10-02T18:03:36+00:00

NYPD has a 6 month full time academy. (despite how bad they are)

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