Helmet fire, I agree with your desires, and I hope something like that comes to pass here. But it will take a major change in philosophy. Hospitals have little to do with it, because the major operators are standalone commercial operations, not run by nor even affiliated with hospitals. Certainly there are hospital-run operations, but they're increasingly in the minority. The federal government will have to get into the action and provide funding if more capable aircraft are going to be mandated. I'm hopeful that with the new administration the new Congress will enact universal health care, and with it the possibility of federal funding for HEMS operations. Only the federal government has the capability of funding new helicopters continent-wide. It need not be direct funding, just mandating larger helicopters and paying enough for patient flights will do the job. I'm far from certain that we will go that far down the road to gasp, Socialism, though.