I was a firefighter/EMT for seven years, most of my time spent as an advanced care EMT. The perfect job for adrenaline junkies in a busy city. There is certainly room for advancement in most departments, though a move to dispatcher wouldn't quite be considered an advancement in most circumstances. The pay really depends on where you want to work, and your level of training. The hours can suck (my reason for leaving plus pay issues), but some really like them. I am still in healthcare, just a different profession. The money is a lot better, steady shifts, occasional weekends, holidays off. Plus, I am not getting puked/pissed on, shouted at or kicked anymore. When I was younger, this was exciting stuff, but I knew all along that I did not want to retire in this profession. Please don't take this the wrong way, it is a very exciting and rewarding profession, and I urge you to look into it if you are seriously interested. However, I would also urge you to get four year degree as well, as it will only help you to advance if you wish to stay in the field, and it will also provide you with options if you want to leave. Good luck.