I work in an urban area of rural Vermont (if that makes any sense, urban being very relative here, our city, St. Albans has about 20,000 population, yet is in the top 7 or 8 largest urban areas in the state). I work for a private company, the only one in our district of seven EMS squads. Of the 6 municipal squads, only one is paid. Anyway, I make about 11$ an hour (EMT-I)and work a very odd schedule, some days I'm on 24, some days I'm on 10 or 11, and off days tend to fall in the middle of the week. We get time and a half for OT and there's always plenty available as we also cover 3 towns besides St. A. and do a fair number of transports between our small local hospital and the Level 1 Trauma Center in Burlington.
It can be frustrating to see other professions making way more money with a lot less on the line (ie. someone's LIFE!), but even though my job pays the bills for the fam (not a hobby), it is also something I absolutely love doing. I love the bit about McDonald's paying just about as well with no vomit, ain't it the truth, huh? However, I worked for McDonald's in high school (years ago!) and I never got to save someone's life. I gave a lady a shot of Epi today (she was in anaphalactic shock) and as her airway opened and her skin changed from a purple-blue to pink, I realized I had saved a life...and no amount of Big Macs can equal that feeling!
Good luck with your career whatever direction you decide to go!
Dan