But the problem isn't with the ambulances, it's with overcrowded hospitals.
They literally did nothing. Contrast to Latvia where I bisected my thumb with an axe and they put it back together about 20 minutes later and charged me €9.
I also have a 8 week old child - zero checkups, no vaccination appointments available, no doctors appointments available. No follow ups for my wife after birth. Oh, and we had to do it all at home, as there is no space in hospital for childbirth - the beds are all full of people who should be in old people’s homes, but there are no spaces in homes for them to move to.
I am ridiculously glad to be back in Portugal as of today, and tomorrow I will take her to the village clinic, where she will finally have a medical inspection.
I remember an article that some ambulance drivers are doing it as volunteering (they are trained). There could be a rideshare/gig-economy take on deploying more ambulances+drivers subsidized by hospitals/government: and drivers can be called in on-demand during surge - local community folks would be driving anyway.
I understand EMT are very well trained. You would want those techs to be as trained as possible. So that could be the limiting factor.