I am going through this same thing currently where I work. We do at least have the ambu bag, because of a previous administrator. I doubt my boss would have felt the "need" to purchase one, if the decision were left to her. Every office should have both and adult and a pediatric version of ambu bags, with an accompanying 02 tank. I've done emergency for 18 years. I can't tell you how many doctor's offices or urgent care clinics that I responded to, when I was a paramedic, that couldn't even maintain an airway for the patient, because they didn't have the supplies to do so. The feeling was "we don't need it". I always thought, "okay, I'll remind you of that when I respond to your next code". The rule is: C.Y.A.