If you live in a city, there’s no escaping the sound of sirens. Live somewhere dense like New York, and the sound of sirens is more common than just about anything else—birds, honking, silence. I learned this when I lived across from a fire station in Brooklyn.
But one thing puzzled me—even though the fire trucks were racing all over the city at all hours: there didn’t actually seem to be that many big fires. No news coverage of apartment fires or electrical fires or home fires. Then one day, I was on the subway, and there was a sick passenger, and the train stopped and the announcer said it would be holding at the station while emergency crews were called. I exited and walked up the stairs. There, on the street, were four fire trucks waiting at the entrance, with crews coming down into the subway to help the passenger. Roads were closed. Traffic was stopped. The subway wasn’t going anywhere.
Don’t get me wrong, those firefighters were doing essential work bringing medical care to the person who needed it. And every day, they risk their lives and their sanity to keep responding to all of the hazards of modern life. The fire station across the street from me in New York had a memorial to its many members who had died in the September 11th attacks. Unless you or a family member is a family member, you can probably never understand just how difficult and harrowing the job can be.
But there seemed to be a disconnect between the problem—there was a sick, maybe mentally ill, person, on the subway, and the response— four fire trucks. The more I started looking into this, the more I wondered why we send fire trucks to so many non-fire calls. Since 1980, the number of career firefighters has kept growing, while the number of structure fires has fallen (see the below chart.)
Meanwhile, wildfires are burning across the U.S. West, and the federal and state government don’t have the resources to put them out.
This isn’t just a problem in New York. “Fire department operations as currently configured are unsustainable,” a civil grand jury in Santa Clara County wrote, in 2011, after looking into complaints that the fire departments had over-deployed multiple firefighting apparatus in response to non-life threatening medical emergencies. Why did they do that? Fire equipment was dispatched regardless of what a 9-1-1 caller reported, whether it be a broken arm or a person stuck in a crosswalk, until firefighter “eyes on the scene” saw that there was no fire. Some of the other reasons they sent multiple fire trucks are . . . not convincing.
Reasons firefighting equipment is sent on calls that aren’t fire-related:
In my latest story, I talk to a city manager and fire chief in Upstate New York who tried to cut back the fire department to balance the city’s budget and got a lot of pushback. I also talk to some cities who changed their fire response, sending ambulances instead of fire trucks, or discontinuing the use of red lights and sirens for non-emergency calls. (When I was a kid, my neighbor climbed up on our roof to get a stuck ball and then got stuck himself, and my parents were mortified when the fire department showed up, sirens wailing, to help him get down.)
Again, to be clear, I appreciate all the wonderful work firefighters do, including helping stuck neighbors down from a steep roof! I just found, in the course of reporting this story, that the modern fire department has not changed much with the times. Nor has the federal firefighting system, where until recently, people were paid as little as $13 an hour. As fires rage in the west, it might be time to reevaluate what firefighters do, and where they do it.
Here’s the piece: As Wildfires Burn, Are U.S. Cities Spending Too Much on Their Fire Departments?
The increase in full time paid fire fighters is due to an inability to recruit and maintain volunteers. Additionally most full time departments require ff to be EMTs at a minimum up to paramedic. This consolidation of services occurs in an increasing number of areas. Sure there has been a general decrease in structure fires however those same building codes have created fires that grow and spread much more rapidly requiring faster and more equipped responses from departments. Fire engines respond as first responders to incidents because they are equipped with EMTs and medics and can function on scene in an effort to stabilize patients before an ambulance arrives. Cardiac arrests, strokes, traumas and other critical incidents require more than just the two people on the ambulance.
Please try getting peripheral IV access, an advanced airway, interpreting cardiac rhythms, administering appropriate drugs, and performing quality CPR without tiring and losing rhythm and depth all while an angry, sad and desperate family attempts to interfere with the process with two people.
Fire stations spread stability through a community. They guarantee a response whereas ambulances are not always available right away. Fire departments are an insurance policy for communities, they may not always be needed but when they are they need the staffing, equipment and training to get the job done.
Interviewing one chief from a small town fire department that hardly has much of a run volume whose actions fit your very narrow predetermined and poorly researched narrative is not good journalism. Your chart is silly as it can be interpreted many different ways. I could go on all day. In the end it really seems like your beef is with naming them "fire fighters" when they are really firefighter, paramedics, extrication specialists, hazmat technicians, rescue divers, swift water rescuers, usar personnel, high and low angle rescue technicians, confined space rescuers, and public educators.
Do better.
Your articles regarding the inefficiencies in service delivery within the fire service fail to point out different deployment methodologies in the fire service that can create savings over the old ways. The move towards a real fire-based EMS system or the consolidation of fire/EMS delivery modes to a county-based system will save money and provide an efficient, effective, and resilient all-hazards response organization. Before retiring a the assistant fire chief, I did a lot research on the effects of dropping volunteerism in rural America on the delivery of fire and EMS services. Would love to talk more: fyrfyterx@gmail.com