thank you for sharing your knowledge.
unfortunately, according the the faa, it's wrong. you can read why under the definition of "crewmember" in 14cfr1. it's in there.
also, your management disagrees with you. read why in your operations manual.
of course, all this assumes that you are some kind of haa pilot. what kind? a screwed-up, know-nothing, that's what kind. i wish we had a hundred guys like you. why? because we got thousands.
as somebody else in the thread has pointed out, you are not the boss of these medical people. if i had to guess, i would guess that you are out of the military, and went right into haa flying, and your slow and agonizing discovery that you are no longer the boss of everybody involved in the flight operation, but (until you commence a flight) are, as the pilot at the haa base, the lowest individual on the totem pole, just chaps your a**. that bleeds through every ignorant word of your ignorant post.
look. do yourself and everybody involved a big, big favor: go into your director of operations and tell him exactly what you just posted...that this is your heartfelt conviction, and that you are just no longer going to work one single minute until things are changed in the way you've described this very instant, and that if they're not so changed, you are going to resign! right now! and you want a decision! right now!
...and then, good luck in your future endeavors. i hear walmat is hiring.
in conclusion, if i haven't made myself clear thus far (which is sometimes a failing of mine...), you're an ignorant doosh with the telling habit of making juvenile rants that betray your ignorance and unsuitability to command an aircraft.
have a nice day