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Decision pending on ambulance tax district
February 29, 2012
Not many people spoke at Tuesday night's public hearing regarding the formation of a Boundary County Ambulance District, but those who did gave county commissioners a lot to think about, and county commissioners made no attempt to even try, tabling consideration until March 20, and reopening the period during which they'll accept written comment through March 12.

Attorney Brian Woods
The meeting started out in the Extension Office, but early on it became obvious that the small room wouldn't contain all the people who attended, and the meeting was shifted to the big courtroom. Even there, the 12 pews filled quickly, several took up Commission Chair Ron Smith's invitation to sit in the 12 seats of the jury box, and still, several people were left standing for more than three hours.

While it wasn't a matter technically under discussion, commissioners allowed an opening statement from representatives of Boundary Volunteer Ambulance, the organization that promulgated the petition requesting formation of the county-wide district and the hearing, who used the opportunity to not only argue that such a district was needed, but to pitch themselves as the potential beneficiary, citing nearly 50 years of volunteer service to the county, and the fact that without relief, the community-based service might disappear.

While their argument may have been premature, it didn't fall on deaf ears, though it did raise a number of questions among those in attendance.

Commissioners were forced to sift through a lot of chaff, and it was hard, at times, to determine who favored a tax district, who opposed, and who just stood up to thank the volunteers of Boundary Volunteer Ambulance, which everyone who spoke did, often effusively.

No one who spoke questioned the dedication of our local EMTs or the services they provide our community. but several, including some EMTs themselves, questioned whether or not the formation of a taxing district was either necessary or wise.

Technically, the role of Boundary Volunteer Ambulance should not have been an issue; county commissioners, by Idaho law, are required to provide ambulance service. The question they have to consider is not who provides the service, but how. Until now, the county has fulfilled the requirements of law by providing an $8,000 annual stipend and a place to house some of the BVA equipment.

If an ambulance taxing district were to be approved, commissioners owe no debt to BVA; they would be free to select and fund both the level of emergency services they deem needed as well as who provides the service, be it Boundary Volunteer Ambulance or any other entity capable of providing the service.

While it may have been premature, BVA Chief Ken Baker and the association's attorney, Brian Woods, very aptly demonstrated the association's dedication and service, citing increased call volume, decreasing numbers of volunteers willing to jump out of bed or leave paying jobs to answer the pager when someone has need. The goal,Woods said, was not to place a burden on the property owner, but to meet the requirements to provide the services this community needs, particular its ability to transport critical patients to regional facilities.

When that need arises, he said, minutes are critical, and people have died waiting.

By law, BVA, qualified as an intermediate life support (ILS) provider, can't take those calls; an ALS unit, Advanced Life Support, is required, and patients here are often stuck waiting for a LifeFlite Helicopter or an ALS-level ambulance service, to drive here from Sandpont, Coeur d'Alene or Spokane ... whichever is available. The helicopter is best, but it can't fly when the weather is inclement.

While no one in attendance seemed to want anyone but BVA ... a non-profit organization ... to continue to serve the needs of this community, the ideas on how to fund and who should pay ran a gamut. There were questions raised as to whether upgrading BVA to meet ALS requirements was needed.

The most poignant testimony came from Joe Farrell, whose daughter, Amy, died in 2009. The EMTs did an outstanding job, he said, and the local hospital did as well. Because of the extent of her injuries, he and his family waited agonizing moments that were precious, waiting for the ambulance from Sandpoint to drive up, and then drive her back down to a facility that might have saved her, had she arrived in time.

A taxing district to support the ability of a local ambulance service to make such transports, he said, could spare others the grief he and his family suffered.

Steve Tanner's testimony, while not drawing tears, was also lauded.

He asked if there weren't other means available to retain the service without placing a burden, and a threat, on property owners.

"There are ways to raise funds without coercion," he said. Instead of retaining non-profit status, the association could go to for-profit status.

"Instead of putting a gun to the head of the property owner, who risks losing their land if he doesn't  pay, maybe the ambulance service should look at doing what every other business does ... turn a profit for the services they provide and which we need and appreciate. Don't put it on the taxpayer ... don't hold a gun to his head and say 'pay, or else.'"

Those who'd like to submit written material can send it to Commissioners, PO Box 419, Bonners Ferry, ID 83805, or email commissioners@boundarycountyid.org. The hearing will be reopened at 6 p.m. Tuesday, March 20, in the main courtroom.