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Let’s
Allow Veterans to Save Lives on the Homefront, Too
By Rep. Herseth Sandlin and Sen. Klobuchar
May 15, 2008
Jesse Folk is a member of the National Guard from Ortonville on the
border between Minnesota and South Dakota. After training as a combat
medic, he served in Iraq for one year. When he returned home, he wanted
to apply his military training and experience as a civilian paramedic.
After checking out civilian training programs, however, Jesse discovered
that he would have to start from square one because they would give
no credit for his emergency medical training and experience from the
military.
Jesse decided not to become a paramedic. His story is not an isolated
case, and America’s rural communities are worse off as a result. We
need to do something about it.
We cannot afford to squander the wealth of expertise and experience
that our veterans offer. Our nation has invested in developing their
skills and we need to make the most of that investment, especially when
they can help meet the health care needs of rural America.
Rural areas have long faced critical personnel shortages in emergency
medical services (EMS). A 2002 Minnesota study described it as a “quiet
crisis,” with 75 percent of rural EMS providers saying they needed to
add more staff and 67 percent saying they had difficulty covering their
shifts.
Likewise, a 2002 survey of ambulance services in South Dakota found
that the top two concerns were training and recruitment/retention. In
a 2004 national survey of state EMS directors, recruitment/retention
and “24/7 coverage” were identified as the most important rural issues.
In some places, there is growing concern about whether an ambulance
will even be available when someone calls 911.
Rural communities must cope with these shortages at the same time they
face special needs.
Rural areas tend to have aging populations that require more emergency
medical services. Also, compared to their urban counterparts, rural
Americans suffer a disproportionate share of injury-related deaths.
Although rural areas have only 20 percent of the nation’s population,
they account for nearly 60 percent of all trauma deaths.
To meet these needs and relieve the staff shortages, there is an ideal
talent pool available with veterans returning from Afghanistan and Iraq
who already have significant emergency medical training and experience.
Thousands of men and women in the military receive emergency medical
training as part of their duties. For example, 80 percent of all Army
combat medics are currently certified as Emergency Medical Technicians
(EMTs) at the basic level.
The problem is these veterans return home and find that their military
experience does not count toward civilian paramedic training and certification.
Existing programs require all students to begin with an entry-level
curriculum, which means veterans must spend extra time and money on
basic training they already have.
To correct this problem, we have introduced bipartisan legislation that
is designed to relieve the rural shortage of emergency medical personnel
by accelerating and streamlining civilian paramedic training for returning
veterans who have appropriate training and experience.
Called the Veterans-to-Paramedics Transition Act, this legislation would
provide federal grants for universities, colleges, technical schools
and state EMS agencies to develop a suitable curriculum to train these
veterans and fast-track their eligibility for paramedic certification.
Cosponsors include Senators Mike Enzi (R-WY) and Tom Harkin (D-IA) as
well as Rep. Jerry Moran (R-KS). It has already been endorsed by the
American Ambulance Association and the National Rural Health Association.
When any one of us is sick or injured and needs emergency medical care,
we count on an ambulance and paramedics to rush to our aid no matter
where we may live. However, many rural communities across America no
longer have that assurance.
When we have soldiers like Jesse Folk who are trained to save lives
on the front lines of combat, they should also have the opportunity
save lives on the front lines right here at home.
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