It's not the same everywhere. My old local mountian had an all volunteer patrol, my dad included. Most of them were former professional patrollers at the bigger mountains in the area. I don't think I ever saw anyone get their pass pulled, and getting mad at being yelled at a little bit seems like you just can't handle breathing... I'm glad the patrol is around, I've never had to be carted off, but if I ever do I know they can help me out.
'...Smoking's bad, smoking killed my dad. Yeah, he was driving down the highway one day and as he was lighting his cigarette, it blew out the window. So he jumps out the door to save it, and ran himself over. Uh, you mind if I smoke?' -Olie Ollaussen, Ski Bum extraordinaire