wiggy/denti Airlines can appoint doctors to carry out medicals for licence renewal without having to employ them. It just happened that they did where I worked.
The BEA Final Report is 104 pages long of which around 50 deal with all the medical aspects and their conclusions/recommendations suggest to me that some radical changes will follow. The industry just cannot sit back and hope this doesnt happen again. Remember also that when MH 370 is eventually found the possibility of a similar scenario to GW may be discovered.