The EMS state agency brings contacts with a multitude of local EMS-related organizations. You really should get involved with that. It's amazing how many of them agree. The fact that we issue their permits may or may not be part of the equation, but they get involved. That's something the state agency can bring to the table.
Local agencies understand what's going on.
They know all the local resources. In the rural parts of North Carolina the local EMS and fire departments are cornerstones of the community. If you get those people involved, you bring about change. And they're willing to get involved. But they need resources and somebody to educate them and point them in the right direction.