Most opportunities for EMTs and paramedics are expected to found in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments, in which salaries and benefits tend to be slightly better. Opportunities will be best for those who have advanced certifications, such as EMT-Intermediate and EMT-Paramedic, as clients and patients demand higher levels of care before arriving at the hospital.