I wish I had an answer for you. I don't. As long as the overall corporate culture, in all industries, is to care only about the stock price and short-term profits, and HEMS operators are driven by this, then corners will be cut, pressure will be applied to take flights, and patients, medical crew, and pilots will die. The insurance companies can cover the losses, and the management types assuage their consciences with large bonuses. This isn't new, and it isn't likely to change.