Capstones

The capstone projects in the YIP Fellowship represent the culmination of an intensive eight-week program, embodying the essence of inquiry-driven learning. These projects, crafted by fellows at the program's conclusion, are a testament to their intellectual growth and understanding of complex policy issues. Each capstone is a unique reflection of the skills and insights gained, demonstrating a synthesis of research, analysis, and innovative thinking. Serving as both a personal and academic milestone, these capstones highlight the fellows' readiness to engage with real-world challenges, marking a significant step in their journey as emerging policy leaders.

Capstones may reflect individual viewpoints and do not represent YIP's nonpartisan stance.

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Suspendisse varius enim in eros elementum tristique.

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All Fellowship Capstones

Emergency Medical Services For All: A Case for Publicaly Funded EMS

In

Capstones - Spring 2026

By

Jaden Glogg

Emergency Medical Services (EMS) in the United States operate under a fragmented funding system that relies heavily on patient billing, insurance reimbursements, and inconsistent local funding sources. As ambulance transport costs continue to rise, many Americans, particularly those from low-income communities, face significant financial barriers to accessing emergency medical care. This policy brief examines the consequences of the current fee-for-service EMS model, including delayed emergency response utilization, health inequities, and financial instability among EMS providers. Drawing upon historical developments, current funding challenges, and existing policy initiatives, the brief argues that EMS should be recognized and funded as an essential public service comparable to fire and police protection. The analysis evaluates three policy options: federal designation of EMS as an essential service with dedicated block-grant funding, expanded Medicare and Medicaid reimbursement reform, and state-level public EMS authority models. While each option offers potential improvements, federal designation combined with sustained public funding provides the most comprehensive solution for eliminating patient billing and ensuring equitable access to emergency care. By restructuring EMS financing around public investment rather than individual payment, policymakers can improve health outcomes, strengthen emergency response systems, and ensure that all Americans receive emergency medical assistance regardless of their ability to pay.

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