original_query: How does the new Notfallsanitäter system restrict the number of paramedics in the system?
query: How does the new Notfallsanitäter system restrict the number of paramedics in the system?
answer: The Notfallsanitäter system requires apprentices to be paid and employed during their education, thus restricting the number of paramedics to those who complete the program through this employer-sponsored pathway.  Previously, individuals could pay for their own Rettungsassistent training, leading to a larger pool of paramedics.