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Published - Monday, August 18, 2008

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Doyle favors, proposes more balanced EMS commission


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La Crosse County Board Chairman Steve Doyle will introduce an Emergency Medical Services Commission proposal today that he considers more balanced than a version introduced in the city last week.

Doyle’s suggestion alters the make-up of the commission overseeing regional ambulance service by knocking off one city council member.
“I’m trying to pull out the politics,” Doyle said. “We really need to get beyond posturing and gameplaying.”

In La Crosse Mayor Mark Johnsrud’s plan, four of the 11 seats are reserved for city representatives, including the mayor, two common council members and a citizen member.

Doyle said a commission so stacked toward the city “won’t fly” in out-county areas.

The joint-commission also includes the Onalaska mayor, county board chairman and vice chairman, a village president, a town board member and representatives from Gunder-sen Lutheran and Franciscan Skemp medical centers.

At the insistence of Tri-State Ambulance officials, two non-voting, ex-officio physicians will be on the panel.

The commission would set and regulate standards, protocol and quality of care, among other things.

Both city and county plans represent a major deviation from a proposal unveiled to the public less than two weeks ago.

The result of months of mediation among the city, county and Tri-State, that draft would have authorized the purchase of two ambulances and allowed 12 firefighters to train as paramedics.

Johnsrud said the public outcry illustrated that any changes should be implemented one step at a time.

Doyle praised Johnsrud for dropping the idea of a city ambulance and working toward a commission “that can take the politics out of this thing.”

While the city council could vote on the commission in September, any county board vote is another month out.

“My hope would be that when the city council looks at a lopsided one and then a balanced one, they would feel that’s really the way to go,” Doyle said.

Samantha Marcus can be reached at (608) 791-8220 or smarcus@lacrossetribune.com.
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oldglorydays wrote on Aug 21, 2008 9:14 AM:

" traumacare - There is a huge difference in professional first responders that are on duty 24/7 and volunteer first responders that are on call 24/7. The difference is not their dedication or desire to help, but training, experience, resources, coverage areas and response times. We do not need the former to provide coverage for the entire county, only where there are and likely will be higher rates of calls for service. "

oldglorydays wrote on Aug 21, 2008 9:08 AM:

" Myturn - What's shameless are your constant personal vendettas that you try to camouflage as rational discourse. I have stated I'm only that we should study all of the options and on a system wide, not just EMS basis; and make determinations on what we should do next looking to the future. Current response times are only part of the whole equation. "

down2512 wrote on Aug 20, 2008 2:32 PM:

" So Doyle's gonna put a "Sunday best" outfit on this. Is he gonna bring it with a box of chocolates wrapped in pretty paper with a georgeous bow on it too? Don't think I once heard the private sector complain or otherwise show concern with the existing ambulance service. Just leave it alone I'm sure you have plenty to do with the "work" you and the county are already involved in. "

Myturn wrote on Aug 19, 2008 10:42 AM:

" Listen, can you hear it? The beat of the drum. The drum beat that signifies 'response times'. Slowly reaching a crescendo by the pro side beat by oldglorydays and his cohorts. Do not fret it will become more pronounced as they assemble their problem within the system. A problem that was not mentioned when they thought this was going to be a Johnsrud/Fireman slam dunk. Now this is what they are down to. Shameless. "

2Hoots wrote on Aug 19, 2008 9:43 AM:

" In over 12 years as a 1st Responder, the ambulance has been on scene before us 4 times. 2x they were driving past the call when it came in, the other 2x we were on another call at the other end of our area. In 15 years, only once has there ever been no one around to take the call. Not proud of that fact, but there are those around that are worse. "

traumacare wrote on Aug 19, 2008 2:40 AM:

" First responders not on duty 24/7. Do explain where in our area first responders are not on-duty or on-call 24/7. It is also important to note that for accidents and other serious calls possibly involving rescue, the local fire entity/rescue service is often sent. Insightful 1 makes an important point highlighting the importance of EMS as a system and not just an ambulance. EMS starts from the time of the call is received, until patient care is transferred to the ER/Trauma Center. The issue of first responders having to cross through other districts, those issues need to be taken up with the LA Crosse County Emergecny dispatch, and/or the folks who have established the current fire/first responder districts. "

oldglorydays wrote on Aug 18, 2008 11:33 PM:

" random annoying bozo - Of course I know the difference. The example has been played out in every rural area time and again. Tri-State often arrives first. If it is an accident and not just a medical call it means the paramedics must take on the roles of the police and first responders too. This is not uncommon on rural calls because the first responders are not on duty 24/7 and the nearest available sheriff deputy is at the court house. To focus on t on transport response times without looking at the whole system is absurd! "

Insightful1 wrote on Aug 18, 2008 9:01 PM:

" The current Ordinance proposed by the County states "emergency medical services" not just ambulance - your comment is well taken - it is a system, from dispatch, to 1st Responders to transport. "

random annoying bozo wrote on Aug 18, 2008 8:54 PM:

" oldglorydays, give it a rest. your comparing apples to oranges. when you talk about 'response times' of first responders, that is exactly what it is, first reponders, you know, the ones who respond first, ussually because they are the closest. what an ambulance contains are paramedics. first responders and paramedics are two entirely different things. a City of LaCrosse ambulance will not do a thing to effect any response times to anywhere outside of LaCrosse. if anything all it will do is cause the outlying areas have to subsidize a service that is now a self sufficient private enterprise. you know, it doesn't require taxpayer dollars. i don't mind spin, but clueless spin bugs me. "

oldglorydays wrote on Aug 18, 2008 5:02 PM:

" The Real World - Not even close! Guess again. "

oldglorydays wrote on Aug 18, 2008 5:01 PM:

" The response times to which I refer are the existing and projected estimates everywhere in the county; not just in the city. The current patchwork has responders from one jurisdiction driving through other jurisdictions, sometimes past their front door. For example the West Salem fire department must go through Onalaska to get to some locations in Hamilton. "

random annoying bozo wrote on Aug 18, 2008 2:54 PM:

" it must be the summer season, or maybe you could call it the 'political' season. but no matter what you call it, Doyle got out the 'flop-flops'. "

mjr wrote on Aug 18, 2008 2:15 PM:

" TIME FOR EVERYONE to go to the lax. county web site and check out how they are goung to backdoor this. Go to ordinance and check out who is going to operate the next ambulance.!!!!!! Call your county board member now then call DOYLE and tell him he will be the next to go!!!!! "

jn wrote on Aug 18, 2008 1:44 PM:

" Grease their palms with cash and the politicians will do anything you want. "

Myturn wrote on Aug 18, 2008 1:17 PM:

" oldglorydays- One word for you, 'Timing'. "

Myturn wrote on Aug 18, 2008 1:16 PM:

" "leaves too many gaps in the network"? Come on oldglorydays, say it aloud! Say it so we all can hear it! Your sides only 'FEAR' card to play, 'response' times. "Threatening"? I think not, the meeting was held on Wednesday, and I aquiessed and agreed to for the good of all. Along with the Demonstration at City Hall because Johnsrud got his hat handed to him, and made an announcement on Thursday following. No need. My petition? Still have it. Getting good coverage on that still, no need to expend that now, to many things going, patience. "

The Real World wrote on Aug 18, 2008 12:44 PM:

" oldglorydays (definition) Bureaucrat. "

oldglorydays wrote on Aug 18, 2008 12:25 PM:

" The commission needs to look beyond just ambulance service. The patchwork of first responders as well as fire and police we have now leaves too many gaps in the network. "

oldglorydays wrote on Aug 18, 2008 12:15 PM:

" Nestor your just full of your usual hot air. You're always threatening a referendum or something if you don't get your way, yet when it comes down to more than just ranting on the blogs you do nothing. Where's that petition you were supposedly circulating demanding appointment to the 2nd district? Where was that demonstration you promised at city hall? "

down2512 wrote on Aug 18, 2008 12:06 PM:

" the article if from 08/06/08 I just re read it and there are even more questionable issues with the existing county outfit! "

down2512 wrote on Aug 18, 2008 11:58 AM:

" you just have to ask how many other "shady deals" are they involved in with county tax payer monies? I don't know how they were found out but it's an article in the Coulee News from last week with a picture of O'Malley and he doesn't really look that comfortable or confident if you ask me. You can get to that paper by scrolling to the bottom of the front page of this one and clicking the link. Read it see what you think. "

down2512 wrote on Aug 18, 2008 11:56 AM:

" wouldn't it be funny if the two Steves and Johnsrud were all impeached and we elected people that really care about the people that live in this city and county? people that would be trustworthy, responsible, economically conservative, and true humanitarians to boot? Officials that didn't want to interfere with/destroy private enterprise as a way to accumulate more revenue that would be used for endeavors you and I would never know about-an example of this would be selling the sand the residents of the lake district in West Salem paid a million dollars to remove and not sharing the $ in any form. "

Listener wrote on Aug 18, 2008 11:35 AM:

" Hey Steve do you want the city ambulance responding to your house? It's a long way from
La Crosse, for a two minute response time.
Thought we could get rid of the "GOOD OL' BOY"
network, it hasn't changed in over fifty years.
Any time the city is involved, only one thing is certain higher taxes for city and county.
Wonder if people in Marshfield miss the fire chief. "

Myturn wrote on Aug 18, 2008 10:31 AM:

" I will promise you if we get a Commission out of this deal, before we have had 'meetings' (plural) with an equal chance to hear both sides on this issue I will file papers for a 'binding' referendum. County wide, unless someone else does it first. Are you listening as well 'someone else'? "

down2512 wrote on Aug 18, 2008 10:10 AM:

" Why don't Doyle Johnsrud etal., just dump this idea completely? The overwhelming response of the voting public is against government run medical service of any sort! Back off of it is the loud and clear call from the public! If the gov't would some how weasel into the ambulance business you can bet your *** it won't be long before they need a helicopter and a helipad...the list goes on and on. No, do you hear it? No! You tend to the business of the county/city and keep your money grubbing, fee generating, tax increasing mitts and minds out of this issue. This is nothing more than running a private business out of our economy! "

Myturn wrote on Aug 18, 2008 10:10 AM:

" It is more sinister then that! This bunch is counting on past historical displayed 'public apathy'. That is the truth, people don't care, don't get involved, and then bitch about their taxes. Our leaders know that, and take advantage of it. What can't any of you get about the fact that we have not heard one forum with the alternative view of statistics???? Wake up!!!! "

Senior Advocate wrote on Aug 18, 2008 8:46 AM:

" WOW! I think I just figured it out. think about a little child caught in a lie. the child at times will literly get petrified with fear and they have become incapable of admitting the truth. Thats Johnsrud, the Fire Chief and Doyle's situation, the poor kids they have backed themselves into a corner and are mentaly incapable of admitting that they are wrong and drop the whole issue. Those poor sad emotionally imature public figures. We need to feel sorry for them, it is very hard to function when your emotions are at the level of a kindergarten child. "

Darwin wrote on Aug 18, 2008 8:28 AM:

" C'mon... give us a county-wide referendum on this! "

Darwin wrote on Aug 18, 2008 8:27 AM:

" Doyle and Johnsrud would do well to realize that they are ELECTED officials. The people will only stand for so much... it'll b interesting to see how much of this your bosses will take, gentlemen. That's the voters, BTW.
And Doyle, you're really out of touch by thinking that our concerns have to do with politics. It's not "playing a game" to be concerned will our healthcare.
Whether you men try to get this in all at once or one step at a time, it's working toward the same goal: way too much government involvement in a private sector which already works very well.
Chief Dominick....how do you feel about this?!?!?! "

Senior Advocate wrote on Aug 18, 2008 8:09 AM:

" I'm pleased to see that Johnsrud's statement did not get missed. How in the world can you say the public outcry now calls for implementation in steps? Then the hyper ego driven Mr. Doyle tries to come in looking like mankinds or at least the area's almighty savior with his pathetic plan. What is it going to take to get these egos to understand that their is nothing wrong, nothing needs fixing or overseeing? If the good taxpayers cannot yet, after this latest attempt, see that these people need to be removed the sooner the better, recall if necessary then it is truely a sad path we are going down. "

Myturn wrote on Aug 18, 2008 7:40 AM:

" "It is the long transports that are critical for advanced paramedic care.-Lacrosse Fire Department Lt Tim Oaland. There it is people, I told you it would happen. The first prairie dog dispatched to stick it's head out of this shameless hole. FEAR!!!! In the form of response times. I'll say it again, the pro forces have done everything they can to control the information and forums to the taxpayers. Unless you think two minutes is enough? You are being manipulated here people, and Doyle is as big a part of this as Johnsrud is. Or he would have another deserved and required Meeting before they stick in a hand stacked Commission that is destine to put a foot in the door! "

Im Still Jackson wrote on Aug 18, 2008 7:23 AM:

" That good 0le boy mentality is showing in their job performance and how the mayor and his cronies have to have a piece of everything these days to the extent that they are so use to getting there way "one way or the other" that this message the city is sending which is NO we dont want the city involved in our ambulance service..... ABSOLUTELY NOT......... they cannot COMPREHEND this NO concept! property bonds for bail! Why not they are in the landlord, tenant, developer business already so either through extortive taxes or default to bail jumping the fix is in there. "

Myturn wrote on Aug 18, 2008 7:00 AM:

" "Johnsrud said the public outcry illustrated that any changes should be implemented one step at a time"? This guy cannot hear! The taxpayers do not want their City in this business. Not in any form or fashion. There is no reason for it. There was no previous problem. This is like a Vacuum Salesman getting his foot in the door. But sadly it is our Mayor and his cronies attempting to expand government. "

Im Still Jackson wrote on Aug 18, 2008 6:57 AM:

" Slippery little devils arent they? "

Myturn wrote on Aug 18, 2008 6:55 AM:

" Im trying to pull out the politics, Doyle said? I want you all to remember this is a man who just fought tooth and nail to retain picking the Chairman of the County Commissions, Boards, etc. Rather than having those seperate entities picking their own leader by voting themselves. Mediator? This is a mediation all-right, it has been a mediation to slide whatever past the taxpayers of this area. Mind you, sidestepping a Forum where taxpayers could hear information from the other side? Two minutes is not enough boyz. For a City Ambulance, or a Commission! "

The Real World wrote on Aug 18, 2008 3:18 AM:

" Doyle should just let this go. He has been in government to long. "

Krusty wrote on Aug 18, 2008 1:14 AM:

" Let me guess...The city council member will be dorothy lenard, there isn't a committee in lacrosse that she isn't on. "


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