I'm with Jack... as usual.
There have been several people killed on Angel flights (Rambo flights?) in Australia by pilots stretching themselves beyond their ability. One was in pissing rain in the dark in the Victorian Mallee if I remember rightly.
I have watched pilots from the Civil Air Patrol engaging in similar gung-ho behaviour, and as a young bloke in the Volunteer ambos I was pretty gung-ho too.
It is an unfortunate part of human nature and CASA are in a position to at least put some controls in place... which is good because it seems Angel Flight, and several Angel Flight pilots have been unable to put the brakes on themselves.