Private EMS services would ensure best practices are followed, and can ensure proper staffing of ambulances. SIC can not provide that as it stands. During the non tourist months they only staff two members in a given shift. Person A has a stroke and needs transport to a hospital. Person B has a heart attack- good luck to person B, you're going to wait for that private EMS ambulance coming from off shore, if they aren't on a call themselves. When the agencies are one in the same they can provide better service to the area.