Originally Posted by
gipsymagpie
Depends. The UK has single pilot doing NVIS IFR HEMS quite happily with the right aircraft, training and operational support (min 2000 hrs of the right sort of flying - often ex military but not always. In the US they try to do HEMS in marginal VFR with limited IFR skillsets with severe commercial pressure. Different operating environment.
US HEMS VFR mins in uncontrolled class G airspace are 800/2 for local area day flights. Mountainous, non local night flights stretch to 1500/5 unaided. I don't think there is any severe commercial pressure to fly anymore. If in doubt just turn it down. I never got questioned once and pilots that pushed it were given a talking to.
https://www.ecfr.gov/current/title-1...ection-135.609