As a volunteer ski patroller in Ontario Canada who has skied some on Vancouver Island BC, I have a pretty good idea of what's involved in the job. While I have it pretty easy in Ontario, with no avalanches and no challenging terrain, I still think ski patrollers who do it for a living deserve twice the pay they get, and should be treated as a profession just like other first responders to an accident where someone's life depends on their skills and decisions.
Here in Ontario the bar for skiing skills isn't as high as it would be where slopes are steeper and longer; patrollers just have to pass some basic skill tests and ski well enough to safely tow a patient down the slope in a toboggan. About half the patrollers I patrol with got into it from the skiing side of things and half got into it from the medical and safety side of things; a lot of the patrollers I patrol with are medics, life-guards, medical doctors, nurses and the like. Some are good skiers, some are great skiers, some are good enough.
Years ago I was taking a first aid course for work, and the instructor told me about his ski patrolling. I thought that sounds like a good thing to do, maybe when I have time I will look into it. When I was invited to join patrol, about 7 years ago. I thought, well if I see someone wrapped around a tree on the side of the trail I'm going to stop and help him; I may as well know what I'm doing. So, I joined. It is a nice thing to do. The skiing everywhere (not just the exciting runs) and in all conditions doesn't bother me at all; I really do enjoy skiing every run in any conditions. Before I was a patroller I really didn't enjoy the greens as much as I do now, and would seldom be seen on one, now it's all good.
Personally I would be happy skiing without patrol; my upbringing and circumstances has led me to place a high value on self-reliance. I don't think society would accept ski resorts running without patrol. I know our city-run hills won't open without it.