We can't get a new AME in our area.
The current one is pretty well known for finding things which after some very expensive tests turns out to be false.
The CAA medical will always back him up. So we now have the situation that most pilots (90%) in the area drive 90 miles to Aberdeen or fly to Stornaway to use another one.
Because of this the CAA says there isn't enough demand in the area to warrant 2 AME's. We do actually have a doctor ( who is also a FI ) who has done the course and has all the kit. But the CAA says not enough demand and they have protect the current local AME.
MJ