What concerns me is that there isn't any mechanism for the city to do anything about EMSSTAT shortages directly.
Status quo a few years later. Contract for building Engine 9's quarters at 3001 E Alameda St was approved at the CC meeting the other week - finally! The "temporary" sales tax may run out before it's completed, of course. In the same amount of time that Norman has built one new station and tried to build another, I think Moore has built four stations or something.
EMSSTAT 7x units -- the units with a single EMT and a stretcher-bearer (or whatever) -- are routinely running on EMS calls instead of the flood of transfers between the various NRHS components that they were intended to service. If you listen carefully, sometimes Norman will dispatch an NFD Engine and an EMSSTAT 9x unit. The 90s are supervisors and that means that there are no ambulances available, at least as far as the dispatcher knows. If you listen enough, you may even hear "Engine x and any available EMSSTAT unit" dispatched.