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We knew spooks were all up in the phone network. They'd show up and ask installers to run them some cables and configure ports in a certain way. I was friends with folks who were friends with the installers.
Emergency Medical Service/Ambulances are a ridiculously low qualified in a fair shair of industrial nations, especially the US,France, or Austria.
Even in the countries with more training/physician based services (Germany, Belgium, Italy)the actual qualification of the responders varies widely - most of them wouldn't be allowed to care for a single emergency within a hospital on their own.