It costs too much? Wow, let's take an example:
the US EMS industry uses about 850 helicopters. It has about 8 fatal crashes a year. Hmmmm, that's 1% of the fleet.
If a fatality costs about 10 million per person in total costs, and 3 people are in each helo, then the net cost for that slice of our industry is 8X3X10=240 million dollars. In one year that is $258,000 per aircraft.
Yep, IFR costs a lot, but so does not having IFR.
TIMTS, yes those are dedicated helo approaches, and it is the first crack toward what I am talking about. we just need a lot more, and with mins lower than what they have. And a lot more IFR equipped helos.