Hell yeah Wally, I am agreeing with you! If the med crew had said, for example, that the patients condition did not warrant the risks associated with a long overwater night flight as advised by the tech crew (if indeed that issue was even discussed), then the patient may have elected to take commercial transport the next day, or the insurer may have decided on commercial transport or (gasp!) another service provider; thus denying the anointed company the income.