Well said!
The bottom line is that whatever machine we talk about it has limits and when utilized up to them, particularly under multiple variables, the simplest of machines can become very complex in handling requirements given a small amount of time to do so. HEMS is indeed not a joke in the amount of decision making required given the mission time frames involved.
I can take a GIV from the east coast to Europe and make far fewer decisions than doing one EMS mission 20 miles out with RTB hospital.
I wish those empowered to make decisions in this industry would realize these sorts of things! Trying to convey that is impossible at present, irrespective of how much the top folks would like to believe to the contrary.