Do you have to go university become a paramedic?

No, you don't *have* to go to university to become a paramedic, although the path is changing in many places. Traditionally, many paramedics entered the profession through college programs, often at the associate's degree level. However, a growing number of regions now require or strongly prefer a bachelor's degree. So while not universally required, a university education is becoming increasingly common and even mandatory in some areas.