so is there any sign of avmed getting its act together?
It appears not...
Also in the AAAA submission:
One area in particular that struggles with continuous improvement is CASA’s aviation medicine branch.
Examples are plentiful of questionable rulings on pilot medicals that fly in the face of genuine expert opinion (for example in cardiology) and result in the trashing of careers for no safety purpose.
The ability of the branch to hide behind the façade of medical qualifications is well known in industry and under current systems, is an almost unassailable position that has drifted far from actual safety issues, or the leading non-CASA advice on medical issues.