BabyBear
I cannot see a comparison between a car driver with three passengers who becomes ill while driving and a pilot with 3 passengers who becomes ill while flying?
The Driver can hit the brakes and in a matter of a few seconds be stopped on the hard shoulder.
The pilot may be at 10000 feet in IMC 100 miles from an airport. For him to be taken ill in such a situation is far far more serious than the car driver.
The 3 passengers are totally dependant on the pilot especially in IMC.
As Guppy said there are pilots who are not fit to fly who would given half the chance.
I would also be interested on how the insurance companies would take to issuing insurance with NO medicals?
Having said that there are few professions or hobbies where a medical is required.
The pilot knows that at any time he could loose that medical and hence his livelyhood or ability to follow his passion.
A medical is just a snapshot at a given point in time a month later there may be a different picture.
That brings up a negative point with medicals and that is that many pilots are scared stiff of visiting their GPs between medicals and getting prompt diagnosis and treatment for fear of it all going on their records or leading to that loss of a medical and hence a livelyhood.
No wonder pilots go down the alternative medicine route which is itself dangerous.
In EASA land it will never happen! far more likely more tests and more intervention and more costs.
Pace