You’ve just been in a major accident. Blood is running down your face, your lungs have collapsed and then your heart begins to fail — you need paramedics and you need them yesterday. If you’ve found yourself in the city of Alameda, you currently have no worry; you’ll receive a level of care on par with an emergency room by the city’s own fire department paramedics. Yet, this ER-level care is threatened because of an ongoing dispute between the city and the Alameda County Emergency Medical Services Agency.