After reading these post I have found several valid points for both sides of this debate. I do feel we need to take a more proactive role in our individual communities and districts in the general heath and well being of those we serve as well as educate the public as to our capabilities. There have been several times I have had Doctor's and Nurse's who were surprised that I could start an I.V. or give narcotics to my patient's that I picked up from the I.C.U. Are we an extension of the Physician Yes we are and I feel that this should not change. But we take more rick out in the field then most physicians or nurses are willing to take. How many nurse's or physician's are out there on a daily basis risking getting assaulted by patients attacked by fluffy the family dog or cat or getting ran over by a car that some rubber necker is driving. We are also being utilized in areas that are non traditional roles for E.M.S. such as Tactical, Haz-Mat and other high risk enviroments.