The answer to AF’S problems might be what my Dad did for me and I did for my son and others have done for their kids......An insurance policy; “if you have had too much to drink, or don’t trust your driver, then call a cab, anywhere, anytime, we will pay the cab fare absolutely no questions asked.” I only ever availed myself of that maybe twice, my son with me likewise.
How difficult would it be for AF to have an IFR professional and suitable aircraft as a backup on call, so a volunteer can bail without letting their patients down if they feel things are getting beyond them?
Having someone on call would cost money, but there would still be lower costs than a full professional outfit.