AMBULANCE services vary. They can be city, county, district, or privately owned ambulance services. Ambulance services aren't always government or state jobs. Where I am from we have a county ambulance district, a ambulance service operated by the city, private ambulance services owned by hospital, and individually owned services. In my area some of the counties have a district; which means they have passed a vote and people living inside the district pay taxes that help to operate the ambulance service. A city owned/operated ambulance service is similar. The residents pay taxes, and the city pays operates the ambulance service just like the fire dept. A private service can be owned and operated by any one who has the money and state licenses to operate a ambulance service. Here again the county I live in hasn't passed a district, therefor a private ambulance service has came in to run the calls and provide coverage and only get money for operating from billing the patients. All ambulance services bill patients. But private services continually close their doors because collecting their money is hard and isn't enough to support the business. So to answer the question...It depends on the ambulance service that they work for.
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Some medics work for a municipal or fire department ambulance, in that case they are city employees.
Some work for private services, they are regular employees like most other people.
Some work for the federal government on military bases or government installations, they are federal employees.
So it depends on who they are working for.
Federal Paramedic Jobs
AMBULANCE services vary. They can be city, county, district, or privately owned ambulance services. Ambulance services aren't always government or state jobs. Where I am from we have a county ambulance district, a ambulance service operated by the city, private ambulance services owned by hospital, and individually owned services. In my area some of the counties have a district; which means they have passed a vote and people living inside the district pay taxes that help to operate the ambulance service. A city owned/operated ambulance service is similar. The residents pay taxes, and the city pays operates the ambulance service just like the fire dept. A private service can be owned and operated by any one who has the money and state licenses to operate a ambulance service. Here again the county I live in hasn't passed a district, therefor a private ambulance service has came in to run the calls and provide coverage and only get money for operating from billing the patients. All ambulance services bill patients. But private services continually close their doors because collecting their money is hard and isn't enough to support the business. So to answer the question...It depends on the ambulance service that they work for.
Um. Working for the state *is* a government job.
Most paramedics, at least around me, work for the city or town. And yes, that too is a government job.
You have to be state licensed to become a paramedic. However, the rules and regulation can vary by county/city that you are serving.