The stigma must end. Fatigue is fatigue, period. People become exhausted, sick and tired. It all comes from being fatigued. Nobody gives a darn at CASA or airline management.
We have good days and nights and then some days and nights it feels like wading through quicksand due to exhaustion even with light exercise, sound sleep and good food, no alcohol and appropriate hydration.
Again, coffee and willpower just don't cut it.
Is it going to take a prang for something 'real' to change...?