By that logic, if we have a critically ill patient in ITU in hospital A who needs an elective (ie next day, not emergency, but planned) interhospital transfer to hospital B for specialised treatment not available locally you have a problem with it? Secondary planned interhospital transfers have been proved by peer reviewed publications to reduce mortality by over a third and to be cost effective. There is no equivalent evidence for primary emergency transfers.
I am not reopening the debate about the benefit of HEMS, merely pointing out that if the public, insurers or politicians decide what health care is and is not available / paid for we may get a poor service. In a war the generals plan the battle to achieve the aspirations of politicians. Healthcare, available to all, should be provided based on scientific evidence of need and benefit as supported (not dictated) by the medical profession. HEMS is healthcare and no exception.
I suspect GreyhorizonHeli you are not discussing secondary transfers but primary movement of people who dont justify HEMS, but my argument in the previous paragraph still applies