If it isn't profitable, it is not the job of a government to make it profitable. Medicare and Medicaid existed prior to the 80s, EVAC knew the risks, and it took the job. Now, do the job as contracted. Those elected officials that do not follow contract, and support bad economics, first - leadership need to take a paycut, EMTs need to take a paycut, or shut your doors, and the county can do it more efficiency. Whoever thought of outsourcing first responders - please step forward to the wall with a blindfold and cigaratte = opps, sorry, no smoking on government property.