I am pleased to say that I am employed in the state of georgia. I don't know about the other states but it seems that most ambulances are pretty much have the same equipment and vehicles.. I wonder if they would ever consider perhaps creating a vehicle that could have louder sirens, more easily accessible for both paramedics and patients, and if they would upgrade the actual design of an ambulance van. I wonder if anyone could give me any feedback on their views especially if you reside outside of the Georgia area. Thanks!