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City admin looking for more medical coverage
By RAELYNN RICARTE News staff writer
Cascade Locks Administrator Bernard Seeger pushed hard on Monday
for the city council to revisit its recent decision not to hire a
second paramedic.
“As an administrator it doesn’t make me feel comfortable to only
have 25 hours per week of paramedic service,” said Seeger. “I
would like to see more for the community.”
When the elected body appeared hesitant about taking on the added
personnel costs, Seeger proposed a town hall meeting. He said
citizens needed to know exactly what level of coverage they could
expect without an additional paid emergency service worker.
“I want you (council) to come to some type of an agreement and
tell the community what you are comfortable with,” said Seeger.
“What we’re asking is how much Advanced Life Support services do
you want in this community? How much are you willing to pay for?”
said Fire Chief/Paramedic Jeff Pricher.
Mayor Brad Lorang gained consensus from the council to grant
Seeger’s request. A public forum will be held to discuss the level
of medical coverage at 7:30 p.m. Thursday. The meeting takes place
in the new fire station at the east end of WaNaPa Street.
Seeger stated in a written staff report June 8 that part-time
paramedic coverage was “inadequate” to meet community needs. He
said Pricher could not be expected, as the only paid emergency
service worker, to provide 24/7 coverage.
In 2007, the most recent year that figures are available, Pricher
and volunteer firefighter/medics responded to 392 calls for
assistance. One hundred and eighty of these incidents took place
within the city limits. The remainder included response to trail
rescues and other emergencies within the county and Gorge.
Seeger had asked the council earlier this spring to hire the
second paramedic on a one-year trial basis. He wanted an
opportunity to show that revenue from increased ambulance
transports could pay the cost of wages and benefits, which he
estimated at $65,274 per year.
In order to pare Pricher’s hours down to 40 per week, Seeger
recommended that he provide medical services for 25 hours and
spend the remaining 15 hours on firefighter duties.
Under Seeger’s plan, Pricher would work during regular business
hours Monday through Friday. He would also be on call one weekend
per month with additional pay.
Pricher was hired in February 2005 for $14.45 per hour and is now
earning $24.09 per hour.
Cascade Locks’ fiscal year 2009-10 budget has been finalized
without including funding for a second paramedic position. In a
Wednesday interview, Seeger said the budget could still be amended
if the council changed its mind about the issue.
Pricher told the council June 8 that the Hood River Fire
Department was experiencing staffing reductions and budget
constraints. He said, for those reasons, the agency was less able
to provide inter-facility ambulance transports.
“That opens up the availability for us because Hood River is not
able to staff all of those,” said Pricher.
Hood River Fire Chief Devon Wells said Pricher’s information was
based upon budget reductions for 2009-10 that did not occur. He
said firefighters gave up a cost of living increase and made other
budget concessions to keep current staffing levels.
He said four paid employees were on duty each shift, which enabled
the crew to respond to more than one call for assistance at a
time.
“We are still in the business of making inter-facility transfers
and we will still be providing mutual aid responses. It’s the same
as it’s always been,” said Wells.
He said the cost to his department for a paramedic/firefighter
position was about $88,698 per year, including wages and benefits.
He said about 60-70 percent of ambulance transport fees were
typically collected. And the bill paid by Medicaid patients was,
by law, reduced to $175, with Medicare clients paying $380 plus
mileage.
According to Wells, it would take about 126 ambulance calls per
year, with a $700 payment average, to cover the expenses for one
paramedic.
At Cascade Locks’ meeting on Monday, Councilors Tom Cramblett,
Tiffany Pruit and Kevin Benson raised concerns about incurring
more emergency service costs.
They said a large debt was still owed on the new $1.7 million fire
station and the city had just borrowed $25,000 from water reserve
funds to pay for the new fire engine.
“Small towns have limited resources and have survived by
volunteerism,” said Cramblett.
“I think we need a stronger effort to create some type of
volunteer program for the fire and ambulance services.”
Lorang and Councilors Randy Holmstrom, Kerry Osbourn and Lance
Masters appeared dissatisfied with part-time paramedic coverage.
The mayor said Pricher could not be expected to continue serving
the city without set hours.
“What we have is a degenerating, constantly degrading level of
service because you can’t ask anyone to work 24/7,” said Lorang.
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