John Oliver is a career comedian whose recent episode of Last Week Tonight With John Oliver hit on major flaws within the system of US EMS agencies. Screenshot via YouTube.
HBO talk show host and comedian John Oliver blasted the low pay, lack of benefits, baffling treatment rules, and insurance nightmares that plague the EMS industry in a 20-minute, not-safe-for-work rant Sunday that’s a must-see for all EMTs and first responders.
Oliver, who offers satirical takes on a wide range of current topics on his weekly HBO show, Last Week Tonight With John Oliver, walked through a list of complaints that will be familiar to all emergency medical services providers and other first responders, and he offered up some solutions — along with a healthy dose of occasionally random humor.
If you work in EMS, this is an epic rant that you won’t want to miss.
Oliver, who is British but has lived in the United States for several decades, begins his 20-minute diatribe by riffing on ambulance sirens and how he prefers those in Belgium to their US counterparts.
US ambulances sound like they are “shrieking,” he says, but in Belgium, a rig sounds like “Mickey Mouse getting fucked on a washing machine — in a good way!”
But after that quick joke, Oliver dives — with an even mix of humor and outrage — into a wide range of industry topics that have long frustrated EMS workers:
Oliver takes a swing at the chaotic and even corrupt rules behind EMS reimbursement via Medicare or private-sector insurance plans. EMS services, Oliver says, are routinely lowballed for reimbursements.
For patients, Oliver laments the ballooning costs of EMS treatment, finding that thousands of people take Uber rides to the hospital, risking life and limb to avoid being crushed by medical bills.
Oliver also goes over an almost unbelievable list of funding disasters hitting EMS in rural areas. He documents agencies that are crowdsourcing funds in order to keep equipment working and updated and the doors open. He notes that one-third of rural EMS agencies across the country are in danger of closing.
He also notes that a huge number of EMS systems are privately controlled, and those in the private sector are rapidly consolidating under cost-cutting, profit-first mega-chains. Many chains are run by private equity and venture capital firms that have no interest or experience in health care, Oliver says, but only in squeezing businesses for bottom-line returns, either through slashing services, running up huge patient bills, or demanding taxpayer subsidies.
Oliver plays a clip from PBS NewsHour of an interview with an EMS medic who discussed how much he loved the appreciation that his community had shown EMTs by ordering them pizza, but who concluded by saying, “I don’t need pizza, I need to be able to pay my bills.”
Oliver concludes by encouraging a federally supported and managed EMS agency and the implementation of the “Mickey Mouse” siren that he so appreciates.
Joshua Skovlund is a former staff writer for Coffee or Die. He covered the 75th anniversary of D-Day in France, multinational military exercises in Germany, and civil unrest during the 2020 riots in Minneapolis. Born and raised in small-town South Dakota, he grew up playing football and soccer before serving as a forward observer in the US Army. After leaving the service, he worked as a personal trainer while earning his paramedic license. After five years as in paramedicine, he transitioned to a career in multimedia journalism. Joshua is married with two children.
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