Shawn,
You are a bright fellow. Think about your question and in time...you will figure it out.
Let me give you a wee hint.....Dollars.
The very same people that will put you out in the middle of a very dark hole, in a Jetranger or A-star....with minimum equipment...sometimes not so much as a RadAlt beyond the bare minimum panel required by law...the same people who think a few unusual attitude recovery practices on your annual checkride and their mindset of doing it on the cheap....are the ones that have gotten us to where we are.
This is a circular argument....and as you well know...accidents are caused by a chain of events...and usually not one dramatic event.
It costs money for training...real, timely, effective, and frequent training.
It costs money to maintain IFR currency and proficiency.
It costs money to provide the equipment.
It costs money to turn down flights.
The one change that would have the most immediate effect on all this would come from the insurance companies....if they demand effective improvements or else they raise premium rates to such a level the operator could not afford the insurance....then the bottom feeders would disappear overnight. The FAA will study this to death and write all sorts of memo's to the inspectors but that will have very little affect. The EMS organizations will have their meetings and put out Press Releases and that will not affect things very much.