U.S. faces shortage of EMTs, nearly one-third quit in 2021 (2024)

National EMT shortage threatens patient care

Nearly every industry has dealt with staffing shortages since the start of the pandemic, but few occupations can mean the difference between life and death like that of an EMT. But for many, low wages are forcing EMTs out of their jobs.

Deniece Farnsworth told CBS News that after seven years she's not sure how much longer she can afford to keep doing her job as an EMT. Her current pay is $18 an hour.

"To pay the bills, we have to work as much as we can," she said.

Farnsworth actually makes slightly more than the national median average for EMTs which is $17.05 per hour. That translates into$35,470 per year. The Bureau of Labor Statistics lists it as one of the lowest-paying jobs in health care. Low pay was the primary reason roughly one-third of all EMTs quit in 2021.

The industry is having a hard time replacing them.

A 2022 American Ambulance Association study of employee turnover found that 39% of part-time EMT and 55% of part-time paramedic positions went unfilled because of a lack of qualified candidates.

"It's an absolute crisis. We have continual paramedics hitting the exit doors and leaving the field," said American Ambulance Association president Shawn Baird.

He added that Medicaid's reimbursem*nt for non-emergency transports, like moving a patient between hospitals or taking someone to dialysis, keeps wages low.

"It can mean the difference of having an ambulance or not having an ambulance," Baird said.

AMR, the nation's largest private ambulance provider, announced it's ending non-emergency transport in Los Angeles County. The company cites low Medicaid reimbursem*nt as a major reason for a $3.5 million budget deficit in that market alone.

Amwest Ambulance Director of Operations Brian Napoli said that to keep from losing EMTs like Farnsworth, the company is moving to give employees a raise. But they can't afford it long-term, he told CBS News, that if Medicaid reimbursem*nts don't increase, Amwest may also have to stop non-emergency services.

Napoli said it costs the company more than $250 for an average non-emergency transport call. However, their Medicaid reimbursem*nt is just $107.

California recently passed a law that could require a $22-an-hour minimum wage for fast food workers. However, there is no mandated pay for EMTs.

U.S. faces shortage of EMTs, nearly one-third quit in 2021 (2024)

FAQs

U.S. faces shortage of EMTs, nearly one-third quit in 2021? ›

Low pay was the primary reason roughly one-third of all EMTs quit in 2021. The industry is having a hard time replacing them. A 2022 American Ambulance Association study of employee turnover found that 39% of part-time EMT and 55% of part-time paramedic positions went unfilled because of a lack of qualified candidates.

Is there a shortage of EMTs in the US? ›

EMT shortage leads to longer response times

ATLANTA - There continues to be a shortage of paramedics and EMTs across the country, leading to longer response times to emergencies. According to the Journal of Emergency Medical Services, EMTs and paramedics face an annual turnover rate of 20%-30%.

Why are EMTs quitting? ›

Pay and benefits were a top concern of EMS workers who responded to the EMT association's 2022 workforce satisfaction study, but the inability to balance work demands with family responsibilities edged out pay as the primary reason people said they were leaving their jobs.

Why aren t EMTs paid more? ›

The certification required to become an EMT or paramedic is relatively minimal, which can also contribute to lower wages. It only takes 120 to 150 hours of training to become an EMT, and ambulances in rural communities are often staffed by volunteers, which depresses wages for those who do pursue the role as a career.

How many EMTs are there in the US? ›

The 2021 Current Population Survey estimate for the number of employed EMTs and paramedics was 241,000.

How bad is the EMT shortage? ›

A 2022 American Ambulance Association study of employee turnover found that 39% of part-time EMT and 55% of part-time paramedic positions went unfilled because of a lack of qualified candidates. "It's an absolute crisis.

Why is EMS short staffed? ›

EMS is often underfunded, which can lead to low wages and insufficient resources. This can make it difficult for agencies to attract and retain talented professionals. Another factor contributing to the staffing shortage is the high levels of stress and burnout that EMS workers often experience.

Why are EMTs paid little? ›

Many EMS agencies are run by local governments or private companies that have limited budgets. They may have to negotiate with insurance providers and government agencies to receive reimbursem*nt for their services. This can result in lower pay for paramedics and other EMS personnel.

Why do EMTs make more than paramedics? ›

EMTs in the U.S. receive an average salary of $35,830, while paramedics earn an average salary of $46,100. The primary reason for the salary difference between EMTs and paramedics is the education requirements and job responsibilities. While both jobs provide emergency care to patients, the EMT vs.

Are EMTs more highly trained than paramedics? ›

The steps you'll take to become a paramedic are similar to an EMT, except you'll need to enroll in further training and gain additional training and licensure. A paramedic is the highest level of EMT. They first need training to become and EMT and then do more advanced training to qualify as a paramedic.

Where is EMT highest paid? ›

Top 30 highest-paying cities for EMTs
  • Tacoma, Washington: $64,166 per year.
  • Seattle, Washington: $61,325 per year.
  • Louisville, Kentucky $60,421 per year.
  • Juneau, Alaska: $58,850 per year.
  • Minneapolis, Minnesota: $55,626 per year.
  • Washington D.C.: $53,862 per year.
  • Hartford, Connecticut: $53,130 per year.

Where do EMTs get paid the least? ›

West Virginia: Paramedics in West Virginia earn an average salary of $29,920, making it the lowest-paying state for this profession. Alabama: With an average paramedic salary of $30,240, Alabama ranks second among the lowest-paying states.

What state do EMTs get paid the most? ›

Emergency Medical Technician Salary by States in the U.S.

Hawaii, with EMT salaries averaging $55,600, is the highest-paying state for Emergency Medical Technician (EMT). At $28,030, Alabama is $27,570 lower than the Hawaii average.

How old are most EMTs? ›

Demographic characteristics of EMTs and paramedics. There was minimal change in age of career EMTs and paramedics over time; in 2011, the mean age was 36 years versus 35 years in 2019 (Table 1).

What percentage of people pass the EMT test? ›

Nearly two-thirds (65%, n = 7,262) of paramedic students attended high-performing programs while this figure was 59% (n = 40,237) for EMT students. The mean first-time pass rate was 69% for paramedic students and 64% for EMT students, and cumulative third-attempt pass rate as 83% for paramedics and 75% for EMTs.

How many EMTs are usually in an ambulance? ›

When transporting a patient in an ambulance, one EMT or paramedic may drive the ambulance while another monitors the patient's vital signs and provides emergency medical care. Some paramedics work as part of a helicopter's or an airplane's flight crew to transport critically ill or injured patients to a hospital.

Where are EMTs needed the most? ›

Detailed list of the best states for an emergency medical technician
RankStateJob Count
1New Jersey683
2Delaware196
3West Virginia330
4District of Columbia197
47 more rows

Is it hard to get hired as an EMT? ›

You can easily get a job as a basic EMT (EMT-B) without any experience or qualifications. The EMT basic program is an entry-level training program that teaches you basic emergency medicine skills through a certification process and a mentorship with a paramedic or an EMT-I in an ambulance or an emergency department.

What state has the highest paying EMT? ›

Highest Paying States for Emergency Medical Technician

Hawaii tops our list of the highest-paying states for EMTs, with receiving $55,600 per year on average. Following it is Alaska, at $51,330, and Maryland at $50,770. District of Columbia with an average EMT salary of $48,500.

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