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Topic: County overstepping their bounds...

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andi03
F L I N T O I D

Is the county starting to overstep their bounds with taking over the ambulance service? It looks like they're starting in Flint..

http://abclocal.go.com/wjrt/story?section=news/local&id=6637219
Post Tue Feb 03, 2009 5:51 am 
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terrybankert
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quote:
andi03 schreef:
Is the county starting to overstep their bounds with taking over the ambulance service? It looks like they're starting in Flint..

http://abclocal.go.com/wjrt/story?section=news/local&id=6637219


Why is the county overstepping its bounds? What is the quick study on this service?
Terry

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Post Tue Feb 03, 2009 6:28 am 
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andi03
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I don't get good vibes from it at all.....

For one, with some research, while other governmental entities privatizing this kind of service Genesee County is going backwards in wanting to take this over?

I'd rather have a business run the ambulance service than a governmental entity...we have county leaders that are worried about legislating the use of plastic bags and not worried about the budget?

With everything population based, meaning income from taxes, the revenue stream is not going to be there to sustain this endeavor...I have not liked this idea from the beginning and don't like it now.
Post Tue Feb 03, 2009 6:38 am 
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terrybankert
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THANKS FOR THE IDEA, WE SHOULD WATCH THEM CLOSELY!

GOOD MORNING FLINT!
By Terry Bankert
http://attorneybankert.com/

1/3/09
YOUR TAX DOLLARS AT WORK. CAN YOU AFFORD CONSOLIDATED AMBULANCE SERVICES?

A battle is brewing over paramedic service in the city of Flint.Tuesday morning, Flint firefighters plan to attend the Genesee County Commission meeting.They'll voice concerns over a plan to take them off EMS runs in the city of Flint. Firefighter's Union Vice President Mark Kovach says commissioners are voting on a plan to have the county take over the service. If that happens, Kovach says the city would lose service, revenue and jobs.[1]

CAN THE RESIDENTS OF THE CITY OF FLINT TRUST COUNTY DECISION MAKES TO PROVIDE EQUAL SERVICES TO THEM?
AMBULANCES: the following is from an Attorney General opinion[2]
Establishment of ambulance service by a county
There is no statutory requirement that a county provide ambulance service to its residents. A township may provide ambulance service for its residents. If a county establishes ambulance service for its residents, such service must be equally available to all residents of the county; however, the physical location of the service is a matter within the judgment of the county board of commissioners and is not prescribed by law. There is no statutory limit on the distance within which a public ambulance may respond to an emergency call.[2]
“No statutory authority presently mandates either counties or townships to provide ambulance service to their residents. However, 1937 PA 176, Sec. 2; MCLA 46.252; MSA 16.308, places the responsibility on the county for paying the cost of transporting indigent persons who are injured 'on the highways of this state.' It reads in pertinent part:
'In case any ambulance shall transport any such person to any hospital or other place where medical care and treatment can be provided, and the person so injured and transported is financially unable to pay for such transportation, and there are no relatives or other persons liable for the care of such person who can pay for such transportation, the cost of such transportation, when approved by the board of supervisors, or the board of county auditors in counties having a board of county auditors, shall be paid from the general fund of the county, . . .'[2]
The act has been liberally construed in favor of ambulance service providers to encourage emergency transportation through reasonable assurances of payment regardless of the financial means of the injured party. I OAG, 1959-1960, No 3427, p 191 (September 22, 1959). The act has also been read broadly to include indigents injured on 'all public ways used by the public.' II OAG, 1955-1956, No 2650, p 470, 471 (August 14, 1956).
“While the act does not mandate that the county provide emergency medical transportation to its citizenry, it does require payment of the cost of such services, provided by others, to indigents injured on the public ways.”[2]
“Both counties and townships may, however, choose to provide or contract for ambulance service for their residents. Two separate statutes specifically empower either governmental unit to do so.[2]
1960 PA 50, as amended by 1967 PA 217 and 1968 PA 163, MCLA 41.711; MSA 5.160, provides:
'The township board of any township and the board of supervisors of any county may operate or join with another municipality or contract with persons, firms, organizations or corporations in operating or furnishing an ambulance and inhalator servide for the use and benefit of the residents of the township or county. The service by the township or the county may be in connection with fire protection service or as a separate operation.' [Emphasis added]
1976 PA 330, MCLA 257.1232; MSA 14.528(512), provides:
'A city, township, charter township, village or county may contract with a person to furnish ambulance service for the use and benefit of its residents and may pay for the entire cost of any part thereof from funds that may be available. A city, village or township that is a party to a contract or an interlocal agreement may defray all or any part of its share of the cost by special assessments created, levied, collected, and annually determined pursuant to a procedure conforming as near as may be possible to the procedure set forth in section 1 of Act No. 33 of the Public Acts of 1951, as amended, being section 41.801 of the Michigan Compiled Laws. This procedure shall not prohibit the right of referendum set forth under Act No. 33 of the Public Acts of 1951, as amended, being sections 41.801 to 41.810 of the Michigan Compiled Laws.' [Emphasis added]
Each of these provisions allow local governmental units to operate or contract for ambulance service, but neither places any affirmative responsibility for so operating or contracting upon either the county or the township.
2. If a county finances an ambulance service pursuant to 1967 PA 217, Sec. 1, et seq, MCLA 41.711 et seq; MSA 5.160 et seq, must the service be equally available to the entire county or may the service be located so that it is substantially more convenient to one part of the county?
1960 PA 50, as amended by 1967 PA 217 and 1968 PA 163, supra, quoted above, authorizes institution of public ambulance service 'for the use and benefit of the residents of the . . . county.' This means that the instituted ambulance service must be available to all the residents of the county. The physical location of the service, however, is a matter within the judgment of the county board of commissioners and is not prescribed by law.
3. If a township is not adequately provided ambulance service and, therefore, furnishes its own ambulance program, are the residents of the townships still obligated to finance the county service through taxes?
Any township may provide ambulance service for its residents pursuant to 1960 PA 50, supra, and 1976 PA 330, supra, if it so decides. The fact that township officials feel that the county is providing inadequate service will not excuse the payment of legally imposed taxes for the county. Their concerns are properly addressed to the county board of commissioners through their area representatives.
4. Is there any way whereby these local officials representing the southern portion of the county can force the county board of commissioners or the County Social Services Board, which in Gratiot County is administering the ambulance service, to provide equitable service?
By the term 'equitable service,' I assume that you are referring to the placement of ambulance stations evenly throughout the county. As noted earlier, that is a matter within the discretion of the county board of commissioners and is not prescribed by statute. The fact that the service is based closer to some population centers than to others, or that it is more convenient to particular citizens, is no indication that the service is not operating 'for the use and benefit' of the residents of the county. If it can be shown, however, that a portion of the county is excluded from the service's benefits, appropriate court action may be available.
5. Is there a 20-mile limit beyond which these county ambulances should not be sent on ambulance calls?
No statutory authority places a limit on the distance within which a public ambulance may respond to an emergency call. If the county institutes an ambulance service, it must provide county-wide availability of that service.
Due to the practical problems implicit in establishing and funding an ambulance service, however, it will inevitably be more convenient to those persons living in a closer proximity to the service's location, especially if the ambulance fleet is small. This fact does not, of course, indicate that the service is discriminatory in favor of the near-residents. Rather, it may only be reflective of the administrative difficulty in operating an ambulance service, within specific funding limits, over a large geographical area. In practical terms, this means that those residents living further from the service's location may seldom utilize the service. They may very well opt for a private service operating in a closer range when time is of the essence.
The solution to these administrative problems may lie in the cooperation of all the local units of government within the county, as well as among the neighboring counties, in a joint effort to establish more efficient services to aid a greater number of citizens. The lgeislature has provided for these interlocal agreements through such statutes as 1960 PA 50, supra, which authorizes the cooperative operation of ambulance services by the various local units of government. Similarly, see the urban cooperation act of 1967, 1967 PA 7; MCLA 124.501 et seq; MSA 5.4088(1) et seq.
Additionally, it should be noted that the legislature has recently passed the emergency medical services system act, 1976 PA 288; MCLA 325.3001 et seq; MSA 14.528(401) et seq, which provides for the planning, coordination and administration of a statewide emergency medical services system through the Department of Public Health.[2]
Under 1976 PA 288, supra, Sec. 3, the Department of Public Health is charged with coordinating and evaluating a state-wide emergency medical service, including ambulance service. This includes review of applications for federal, state and private grants. If inadequate ambulance service is being provided to people in some parts of the county, it should be brought to the attention of the Department of Public Health for appropriate action.[2]
THE CITIZENS OF FLINT SHOULD DEMAND TO KNOW HOW THIS WILL AFFEC T THE RESPONSE TIME TO THEM?

Posted here by
Terry Bankert
Join me in this discussion on face book
http://www.facebook.com/people/Terry-Bankert/645845362



-1

http://abclocal.go.com/wjrt/story?section=news/local&id=6637219
-2
http://www.ag.state.mi.us/opinion/datafiles/1970s/op05254.htm

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Post Tue Feb 03, 2009 7:13 am 
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andi03
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Boy, you sure give people a lot to read. Smile

Another point. I trust my local people, emphatically. The volunteers with my local fire department, the first responders. I know them by name and they know me from prior runs that they have made to my house. They do not fall anywhere, (If I am mistaken, please correct me.) in the grand scheme of everything.

I have had to leave my children with one of them while crawling in the front of the ambulance. Would I get the same service? Would I have to make a decision as to whom to be with should this happen again? Leave with the child that is in the back of the ambulance or stay at home and take care of the other two that need supervision....there is more to this than meets the eye...What about all of the intellectual capital that is lost with the volunteer fire departments?

City of Belding Michigan outsourced theirs due to monies lost. Is the county going to get sued again for taking the rights away from private employers for the right to earn a living? Are High School football games going to be staffed out of the goodness of the county's heart?

State of the art equipment may not be available to the county government based on the governmental Standard and Poor's rating, but the state of the art equipment may be available to private firms that exercise a positive balance sheet with a good credit rating.
Post Tue Feb 03, 2009 7:30 am 
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