Lives will be lost if a town's community ambulance hub is shut, a former paramedic's told the BBC.
West Midlands Ambulance Service wants to remove the response base in Cheadle, Staffordshire, by the end of March.
Instead, it wants to convert the rapid response vehicle there into an ambulance as it says the current vehicle only attends 2.2% of calls in the area.
But former paramedic Carole Winning told BBC Radio Stoke she believes lives are at stake: "They're saying they'll have an ambulance here but they won't because they're so busy, they'll never get here."
Cheadle Town Councillor Dave Sargeant said it would take longer for ambulances to respond: "You've got areas like Whiston, Ipstones, Foxt. These are difficult places to get to and, if you think of somebody coming from Newcastle to Cheadle, a minimum time to get here, it's going to be 25 minutes."
The ambulance service said it believed the move would save money and would not change the level of ambulance cover in the area, "if anything, this will increase over the coming months".