I'll present the ugly view of EMS.....the work sucks!
!!!!ty Management, bad pay, bad hours, poor training, high risk, jobs are usually somewhere you do not want to live (for whatever reason)...getting a posting elsewhere after being hired can be very hard to do....pilots are subject to being fired should they fall out of fashion with the Med crews, and don't ever think it is a flying job....as you are the Flying Angel who swoops in and saves lives.
There are exceptions to this...but I firmly believe if you polled the EMS pilots in an absolutely confidential anonymous manner and got a truthful response...they would support that view.
If you want to establish the validity of my comments....review the Accident Rates for previous years, the reluctance of the Operators to change, and the way the FAA hides its head in the sand while the mayhem goes on.