In the quest to revamp its emergency medical services, Fort Worth has scrutinized MedStar’s performance against 20 other EMS operations nationwide, an interim report by consultancy firm Fitch has revealed. The in-depth study, which was not tasked with providing direct recommendations, nonetheless sheds stark light on the financial pinch felt by MedStar in comparison to its brethren, as per the findings published on the city’s official website. Despite a shoestring budget and zero public funding, MedStar’s resourcefulness stands out, as the service ekes out operational efficiencies amidst the crunch.