Who mentioned: "Farmer Joe flying his mate's rellos to the big smoke for a hospital visit?"
And why would that example be "a complete red herring" and "irrelevant" in a discussion about community service flights?
Farmer Joe may be an Angel Flight pilot. Farmer Joe may have accepted an Angel Flight mission to carry someone who is, coincidentally, a friend's relative.
Your example is not so unusual.
You're merely showing your prejudice.