Agreed, but what amount of Training or Temperament makes up for the gift of sight? For EMS night ops; 'to see or not to see' that is the question. The NVG equipped pilot has such a quantum SA advantage over the 'unaided' pilot that it simply should not be an option to fly EMS night ops without NVG. To compare this one issue with other debates such as twins or singles and stricter application of IFR procedures is missing the point and the path of ignorance. Operators need to be pro-active in getting themselves informed on this one issue. It should not be left to the likes of Mike Attwood to have to push this technology into the industry. It is here, it works, it's affordable; end of story.