During the recent 3rd Budget Workshop for FY26 in South Berwick, local officials discussed the pressing challenges surrounding emergency medical services (EMS) and the potential for regionalization to address rising costs. The meeting highlighted concerns about the increasing expenses associated with providing EMS in South Berwick compared to neighboring areas, particularly York, which has led to significant financial burdens on the town.

Officials noted that past budget increases have not been equitable, with South Berwick receiving a disproportionate share of funding compared to other towns. This trend raises concerns about the sustainability of EMS services in the community. The discussion revealed that the town may need to explore alternative solutions, including the possibility of regionalizing EMS services with neighboring towns like Northborough and Southborough.

However, the concept of regionalization is fraught with challenges. Officials expressed skepticism about the feasibility of such an arrangement, citing past experiences where attempts to create a unified fire system in Franklin County failed due to disagreements among local chiefs over leadership and operational control. The complexities of negotiating salaries, service hours, and equipment costs among multiple municipalities were also highlighted as significant hurdles.

Despite these challenges, there is a recognition that regionalization could offer some efficiencies if approached correctly. Officials emphasized the importance of establishing a solid foundation for South Berwick's own EMS services before seeking partnerships with neighboring towns. This would enable the town to present a more compelling case for collaboration and support from the county level.

As the town grapples with these issues, the need for a strategic plan to ensure reliable and affordable EMS services remains a top priority. The discussions from the workshop underscore the importance of community engagement and collaboration in addressing the evolving needs of South Berwick residents. Moving forward, officials will continue to explore options that balance cost-effectiveness with the quality of emergency services provided to the community.