Pilots unfortunately can't create what the medical profession has created in order to safeguard itself.
A strong representation determines the number of ''crew'' required, always less of course which creates a shortage of skill, naturally by undertraining, which then chokes the system with waiting lists, then introduce a simple ''solution'' such as health insurance, and we have a system which benefits the chosen few.
Hence why surgeons remuneration in the west have outpaced inflation tenfold. Does this benefit the tax funded user?No.Has this helped reduce the mortality rates in the west?No to the contrary.
Solution, the Japanese system, a system that was created to benefit the end user only.
So long as we have the ''flexicrew'' system and its inceptors around our profession is doomed. Efficient market theory.