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Needless to say from my point of view we have a leadership problem in the HEMS industry.
WWIII:
I think you have touched upon another very significant factor in this discussion. Much as I hate to make this about "Us vs. Them" ,one has to note that almost the entire top echelon of the HEMS industry is manned by non-aviators. Good people in their own right, but ,driven by different motivations:money and patient care. The latter being part of what I call the " Ambulance" culture: Get in(quickly!!) ,get out(quickly!!) and save lives(cue hallelujah chorus!!).I wonder how many pilots buy into that.