The Klickitat County Emergency Medical Services District is seeking a new six-year operating levy of 50 cents per thousand dollars of assessed property value to put the five-year-old district on a solid financial footing.  District interim operations manager Bruce Brending says the district, which was established by a vote in 2013 to provide EMS services throughout the county, has found that the current levy of 30-cents-per-thousand is not enough to effectively operate the service given the low rates of reimbursement from Medicare and Medicaid, the number of bills they can collect on, outstanding debt, and increased costs of doing business.  Brending says the levy replacement will allow them to keep up with equipment replacement, provide a competitive wage to retain employees, resume operation of a fourth ambulance, provide required trainings, and outfit a mass casualty incident trailer.  The levy is on the November ballot.