Becoming a paramedic in the United States involves several steps. First, one must complete a high school education and then obtain a CPR certification. Next, one must complete an accredited paramedic training program, which typically takes around two years. After completing the training program, aspiring paramedics must pass the National Registry of Emergency Medical Technicians (NREMT) exam. Finally, individuals must apply for state certification and obtain a license to practice as a paramedic. These steps are necessary to become a qualified and certified paramedic in the United States.