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<br />Chief Groves explained there was a base rate and a mileage factor used to calculate the cost of transport. <br />Universal health care would go a long way in solving the problem. Unpaid bills were turned over for <br />collection. Staff tried to work with people to satisfy the obligation before turning accounts over for <br />collection. People could decline service. However, if a person was unconscious, under state law, that was <br />implied consent, and they were treated and transported on the theory they wanted to be saved. <br /> <br />Commissioner Handy thanked Councilor Ortiz for understanding the urgency of the situation in the <br />community. He said the County needed to live within its means, and he was hearing that from the <br />community. At the same time, people also wanted services. The County was looking for things to bubble <br />up from the grass roots to bring issues to the BCC and put on the ballot. It was important to work with the <br />state legislature and federal partners. A hospital was needed on the west side of Eugene to deal with <br />transport distances. City services were excellent and should not be compromised. Urban services not <br />going outside of the UGB needed to be looked at. If a countywide district was considered, a tiered structure <br />should be considered to address urban/rural interface. He wanted to know what the impacts of compres- <br />sion related to Ballot Measure 50 would be on other services. <br /> <br />Mayor Leiken said Chief Murphy had always encouraged the City Council to talk with him, the IAFF <br />president and the City of Springfield firefighters. This was a unique culture and allowed the council to <br />make educated decisions for the community. He concurred with Commissioner Handy that compression <br />should be considered. He asked what would be the difference between an ambulance authority and a <br />special district. He understood a special district would be a separate entity than the local governments with <br />its own board and administration. <br /> <br />Chief Murphy cited the Metropolitan Wastewater Management Commission (MWMC) as an example of <br />how a fire service authority could operate through an Intergovernmental Agreement (IGA) with partner <br />agencies. He explained fire service authorities were in place in Washington and California, noting <br />Livermore and Pleasanton, California, which were very similar to Eugene and Springfield, with the <br />exception that their populations were closer in size, was a consolidated agency. The Livermore-Pleasanton <br />Fire Department was an unqualified success. Chief Murphy said Lane County had a unique opportunity <br />facing it. Many veteran Fire and EMS personnel were reaching retirement age presenting an opportunity to <br />combine services while not requiring service reductions. While none of the solutions would be easy or fast, <br />he asked the BBC, the City Councils, and Fire Boards to collaborate on developing a solution. He opined <br />he and Chiefs Borland and Groves were dedicated to developing a slate of options for the JEOs to achieve <br />consensus. <br /> <br />Mayor Leiken said although the JEOs were talking about costs, the public was demanding highly trained <br />professional paramedics who saved lives on the scene and transported people to the hospital, compared to <br />30 years ago. Costs continued to rise with training and equipment. He looked forward to continued <br />conversations on Fire and EMS and believed it was a core service. He asserted this issue was about <br />peoples’ lives and the elected officials needed to continue to hammer on the federal delegation. The federal <br />government had been turning its back on the cities for decades. <br /> <br />Commissioner Stewart, as a member of the MWMC, concurred with Chief Murphy that there were <br />successful models in place for a fire authority. He hoped all of the elected officials came tonight with an <br />open mind to solve problems for the community. <br /> <br /> <br />MINUTES—Joint Elected Officials— January 27, 2009 Page 13 <br /> Lane Board of County Commissioners, Lane Rural Fire/Rescue Board of Directors and Eu- <br />gene and Springfield City Councils <br /> <br />