EMS at the Crossroads

EMS at the Crossroads was published quite some time ago.  However, many posit that the industry is just now approaching the bulk of issues that comprise those “Crossroads.”

What are some of the “Crossroads” issues that have yet to be addressed?  Reflecting on the history of EMS, what are the elements of market failure at work today in the healthcare and EMS market that argues for some form of government intervention?  What intervention(s) would you recommend and why?