As long as ANY so called "Aeromedical Provider" is allowed to dictate rules to the FAA we shall continue to see an uncontrollable amount of crashes and accidents.
The FAA allowed HEMS operators to go the way of the cheapest possible expedient to make the public at large believe safety is being considered primary: NVGs.
The US HEMS industry is again being allowed to regulate itself and we know that when profits are at stake self governing is tantamount to anarchy.
Considering how long this crisis has been dragging itself, the FAA is just as culpable as those operators that crash on a regular basis.
The causes are always the same.
My prayers go the the surviving family members who in lack of a valid lawsuit shall only be left with the "usual" one year of pay to remember their dear folks.