It is time for the formation of the Mass Dept of Emergency Services (MDES)

This combined agency will provide - police, fire, ambulance, 911, and
disaster services

Organization Chart - Governor >>> Chief of MDES >>>>  then for each
county, a Fire / EMS Chief, a Police Chief, and a Disaster Chief

911 should probably have a statewide Chief and a statewide technical
staff - then 1 comm center per county head by a Comm Center Boss Man -
or maybe - just run 1 comm center per county, and have the statewide
IT people help with the most technical issues

Hiring - conducted statewide - each employee will be required to live
within 1 mile of the duty station - this will obviate the need for
racial quotas and will provide a good disaster resiliency

State Forestry, State EMA, State OEMS, State Police - all will be
rolled into this emergency response agency - anything that requires
'red lights and sirens' will be the primary focus of this agency

Question - should trauma centers and major hospitals ERs be part of
this agency? Probably yes - seeing as how they play a very very very
critical role - (Google Shock Trauma in Maryland)

SOPs and purchasing will be centralized statewide - training also -
(we are 50% the way there already)

Funding will come from the State - this will make budgeting much
easier and simpler - if local communities want higher levels of
service, then can raise contributions or purchase fire trucks or hire
security guards

Think of the millions that can be saved and put to better use. How
many trauma centers does Boston really need? How many public safety
helos are needed? 50? 100? How many redundant police and fire stations
are needed? How many redundant 911 centers are needed?

This agency will make use of PSOs in some locations.
This agency will handle all ambulance calls that require red lights
and sirens. (How many private ambulance trips really require 2
EMTs?)(ie - private ambulances can handle all trips that do not
require red lights and sirens - that is 95% per San Francisco)

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