Back in the 80's when we were pioneering Hems in the UK, pilots were selected based on experience, hours and skill. All were IFR qualified, but tasking was 99.9% day only...... no accidents
Today, I would strike a guess that several of the above have changed significantly
Its a no brainer for me. Before Hems, the various health authorities coped without us and when we came along were welcomed by the same as a very useful tool to be utilised during the day. The only trip I ever made at night was IFR from an RAF base to an international airport with ILS landing.
IMHO, it should be taken out of our hands...