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St. George • Paramedics with the state's largest private ambulance company may go on strike, and St. George area officials are worried about the potential impact on patients.

The Spectrum reports that paramedics with Gold Cross Ambulance will vote on Saturday to decide if they will go on strike, picket or distribute handbills.

The employees, who unionized last year, have cited poor work conditions, poor pay and broken promises in failed negotiations with the company. But Gold Cross owners say the main issue is that employees aren't allowed to withhold money from their paychecks to pay union dues.

Gold Cross maintains control of local 911 calls through an exclusive license issued by the state.

County officials say they will work together to maintain service if employees do go on strike.