THIS AIRCRAFT HAS BEEN DESIGNED FOR SPECIAL
OPERATIONS AND IS NOT OPERATED TO THE SAME SAFETY
STANDARDS AS A NORMAL COMMERCIAL PASSENGER
FLIGHT.
It's all about the aircraft though. There's nothing to say that the pilot may be flying despite having his CPL revoked due to a pre-existing medical condition that he knew about.
If he'd had an unexpected, out of the blue heart attack it would be a completely different matter (and a tragedy for both of them), but he had a condition that prevents sufferers from legally driving cars.
Epileptic driver jailed over fatal accident - ABC News (Australian Broadcasting Corporation)Sadly, there are plenty more examples and from what I can see if they were aware of the condition, they all got jail.