what u r arguing for is the government model, like canada. a few really well equipped and capable aircraft scattered around the country for medical transports, when approved by competent authority. which means very few. of course, very few would have to be flown anywhere, since all the hospitals would be pretty much do-anything facilities, because everything is supported by tax money, with little or no costs to the patient. as you point out, this would be a great system. i’m all for it. glad to see another guy on here that recognizes the benefits of socialism.