The committee didn't really focus on this but I am interested in what people think about how not being RVSM compliant impacts on medevacs. For normal operations you just have to soak the extra fuel burn but in the case of a medevac can the pilot declare med 1 or med 2 to get an RVSM waiver? If not why not?
In this case being able to cruise in the RVSM airspace would have allowed the PIC to take full fuel.
In the long term though what oversight do CASA apply to regular EMS operators to ensure that they are not using med catagories to avoid capabilities, such as RVSM.