A collage of blue and red picture, geographical lines and ambulances
(photo illustration by Maya Shimizu Harris/WyoFile)

A Critical Call

What if you call 911 and no one answers?

In parts of rural Wyoming, that’s getting closer to a reality as EMS agencies struggle to keep their heads above water. Whether they’re independent companies, part of a hospital or supported by local governments, they’re facing an uphill battle to staff ambulances amid increasing costs, decreasing volunteerism, stagnating reimbursement rates and a growing need.

What was once seen as solely a transport service to a hospital — and therefore reimbursed as such — has become an increasingly expensive and highly trained field. But with an aging Wyoming and rural hospitals struggling to stay financially solvent, EMS agencies are looking towards an increasingly uncertain future.

In this three-part series, WyoFile examines Wyoming’s ailing emergency services, and why things are starting to look dire.