Gomer, I guess that it's a matter of perspective. True, it's ususlly the med crew that does most of the saving going on, but if you're not helping to save lives, maybe you are in the wrong business. Go argue the "Golden Hour" with a trauma surgeon. At $15,000 a pop, you'd think that there would be a lot less air ambulances if no lives were being saved. If you aren't helping to save lives, then you might just be doing something wrong. I've argued with ATC to make the fighters wait to take off until I get through their route of departure rather than have me circumnavigate their airspace. There are a lot of pilots that won't put forth the effort. The paycheck will be there at the end of the week if this patient makes it or not. If you aren't helping to save lives, then you just might be in the wrong business.