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In France firefighters are also paramedics. They provide ambulance services and are usually first responders for any medical emergency.

Thank you!

Germany, at least in some places.

Brazil.

Brazil seems to offer the SAMU ambulance service nationwide.

I would understand a developing country combining responsibilities like this, as they might not have the resources or captial available to the richest nation on earth.

What downsides do you see from this combination?

Canada

Aside from Canada, which some commenters here say don't do this any more in some provinces, are there any others?

Genuinely curious. Its a hard thing to Google for.

Its very common in Portugal, particularly outside the largest cities.