Well I definitely fit that haha . I work ELA , down to Huntington Park , private ambulance Co . I think LA City would be great because they run dual medics on their ambulances and at least in my opinion it ' s a legit system . Whereas for LA county FD they run a weird hashed together system of BLS ambulances , als squads , BLS engines , private company ambulances getting paid 11 hr and BLS engine crews getting paid $ 80 kyear . The FD is still highest medical authority on scene , private ambulance is unable to cancel other responding units if they ' re first on scene until the FD has assessed the pt . And somehow FD BLS is higher than amb BLS so . they ' re like . super BLS I guess . It ' s a lot of wasted resources in LACO , arguably la city too . Unless it is a critical call or requires extrication or something there should never be a 30 , 000 pound Fire Quint on scene of a medical aid for an arm laceration . Yeah . They respond an engine or Quint , als squad and amb to every . Single . Medical run . Sorry for the rant . But id probs recommend a city dept .