2/14/2026 St. Croix has roughly 42,000 residents and 3 paramedics. Many well-performing ALS systems operate closer to one paramedic for every 3,000–6,000 residents. St. Croix is operating at roughly one for every 14,000. On a continent, neighboring counties provide automatic mutual aid when multiple high-demand calls happen at once. On an island the closest mutual aid is 40 miles away by ocean, part of the same territory with the same problems, there is no help. In 2021, Act 8506 established an

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