In the mix you have El Dorado County, the City of South Lake Tahoe, Lake Valley Fire Protection and the Cal Tahoe JPA. More importantly, and most likely the reason for the passionate responses from all involved, the mix also contains the safety of the public.
On March 15, 2016, the City of South Lake Tahoe sent a letter to the JPA, stating their intent to pull out of the agency that was created in 2001 to supply ambulance service to the City and the County and a portion of Alpine County.