alloutte3 noted:
More pilots will be required to be hired, schedules managed more proactively etc. All distasteful to the operators.
Alternately, with the current economic situation, the lost employment tied to medical insurance and the likelihood the private insurance organizations will have to compete with the government in the US - the whole EMS industry might implode.
I don't think you need to worry about the effect on operators, you need to be concerned about the effect on your customers, because they are the ones ultimately paying for the service.
I think a more likely scenario in the current situation may be the exact opposite from your suggestion. Hardly the stuff to improve safety - but if you think times were tight before, just wait another 6 months.