PALM COAST -- Palm Coast needs a fourth ambulance to meet American Heart Association standards for transporting patients to hospitals, according to a consultant. But getting that ambulance isn't as easy as going out and buying one.
That's because the issue is not solely within the city's power. It must get a certificate of need through special legislation or from Flagler County, which runs the ambulances in the city and generates revenue from transporting patients.
Mayor Jon Netts said during a recent workshop that the city could ask the county to add an ambulance "dedicated" to Palm Coast, which means its primary responsibility, would be serving the city.
"The county is going to say 'Fine. Pay for it,' " Netts said. "I would argue we are already paying for it through our taxes. You have an obligation to provide ALS (advanced life support) to all your population. But if the county were to raise the issue of pay for it, or we are not going to do it, then the conversation stops unless you are willing to net out that cost," meaning subtract the revenue recovered from transport fees from what the city paid and refund the difference to the city.
Read More, Palm Coast considers 4th ambulance
























