The thing you have to remember about Avmed is that they are not there to help pilots continue/start a career, quite the opposite. Unless it's changed over the past 10 years they are a bunch of has been military doctors who couldn't make it in the private sector so gummint is their saviour. In the past most of them were from foreign military and would struggle to attain English level 4.. Combine all this with the fact they have nobody to question their often questionable judgements (other than the AAT at great expense to the plaintiff) and you have what most regard as the most toxic waste of taxpayer dollars in Australia, and not only that, you could be mistaken for thinking this pack of sea hunts actually enjoy inflicting misery on Aviators