Sadly US HEMS tends not to have the gear or expertise for the job,
(gear)
I think that a generalization blind to the demographics of demand and supply capability. Especially if it were based on a comparison to old blighty where we others could generalize that all is laid on by ER, and the scope of operational area is postage stamp size.
(expertise)
The slur against our rotary brethren stateside is not necessary.
and seem to favour their testicles for decision making.
This is a most confusing statement, do you mean for or from?
Are you implying that they have used their unmentionables instead of their head to made the wrong decision to go, or used them for decision making instead of using their head?