DrK You are an angry man
SNID, ha ha - no I'm not! I am just an INTP personality type who can not see any sense in having an approach sitting there doing nothing, and saying "FOR CASA APPROVED OPERATORS ONLY" but meaning "FOR EMS HELICOPTERS ONLY"!
It is completely idiotic! The approach is a standard GPS RNAV Approach - alinged with the YATN aerodrome, NOT the Atherton Hospital like many others.
As you will know if you have any familiarity with the area, when flying into Atherton from the south, once you get north of Mareeba you are in VMC 95% of the time - you just have to fly back under the inevitable overcast covering Atherton.
Never a truer word was spoken!
Dr