Tompkins County's Public Safety Committee meeting on May 27, 2025, spotlighted pressing concerns regarding the county's Emergency Medical Services (EMS) system, with committee members emphasizing the need for equitable coverage and staffing solutions.

The discussion was sparked by a proposal from the EMS planning subcommittee, which aims to address significant disparities in ambulance service availability across the county. Committee member Rich highlighted the importance of having a concrete proposal to work with, stating, "I'm glad there's a proposal on the table so we have something actually to bite into."

Concerns about inequities in service coverage were echoed by other members, who noted that while some areas receive robust support, others are left underserved. The committee recognized the dual challenges of ensuring adequate service throughout the county and addressing the financial support for these services.

Staffing shortages were also a major topic, with members expressing the need to promote EMS as a viable career path. One member remarked, "I think this is an opportunity to build this vocation as a legitimate way to earn a living."

Consultant Paul Bishop from CGR provided insights into the complexities of the EMS system, noting that the county has already conducted extensive research on its services. He pointed out that the current landscape is challenging, with rising costs and longer lead times for acquiring new ambulances and equipment. "If you were to order an ambulance today... you wouldn't see it for 2, 2 and a half years," he warned.

The committee's discussions underscored the urgency of addressing these issues to ensure that all residents receive timely and effective emergency care. As the meeting concluded, members acknowledged that while progress has been made, there is still much work to be done to create a comprehensive and equitable EMS system for Tompkins County.