I am a fan of standards. But, Lets say you want to be in EMS and you just can't pass the test. Its time to ethier look at the teachers that are teaching the class or the NR. One of the two must go. An If I looked at a person grades in class and he is passing with flying colors and he/she has failed the NR over 3+ times. Its time to take a overall look at the NR. Ethier water it down or get rid of it. Ask follow EMT's around anywhere I bet 7/10 will tell you that they had spent more what the spent on the just the class alone. IT'S A SCAM! Again I am going to say. Take a class, pass it, with 75 % or higher and take a state test. The NR is a joke and a SCAM for more money.
As for a low pay. Mcdonalds make more what KY and WV EMT's make on the hour. That is sad. The low pay is already here.