Employee morale down across the board, some places working with sorely outdated medical equipment and aircraft. Very poor management that seems to falter from the top down. Pay is the biggest complaint, pay for medical crews are the lowest in the industry when compared to private ambulance, hospitals, fire dept etc, it should be the other way around or at least comparable. And 2 letters that don't exist: OT, they do everything they can to get away with not paying you a fair wage.