See this article on emergency department crowding and the concern emergency department physicians have had about this for ten years.
I was concerned too.
Ten years ago I asked Keith Steffen, administrator of OSF-SFMC in Peoria, if OSF was guilty of "institutional malpractice" because of overcrowding in the Emergency Department at OSF. I thought that patient's lives were on the line in our overcrowded dysfunctional Emergency Department in Peoria.
And I doubt things are going just peachy in the Peoria EMS world. See this article from two years ago by Elaine Hopkins.
More on Peoria's EMS soon.