I guess you are talking about HEMS?
I’ve been with AMC for a year now, and it seems it is because they can’t find pilots that are qualified for the positions. And, the ones that are qualified, don’t want to live there.
The bases are normally very rural, and likely offer pilot housing. I think the big draw of HEMS is getting to go home everyday, because if you are going to commute for your 7 days on, there are potential higher paying jobs to have out there.
I make 83k with my included 10k location bonus, so I’m happy to travel. National relief pilots with AMC make close to 100k for an even rotation, with travel paid for. But you are changing bases regurarly, and likely flying to work every week. The positive side is that they pay 1.5 for the travel time for that position. How long will something like that last? They had it before, and got rid of it, and now it’s back because of qualified pilot shortages.
I know of pilots with over 10+ years experience that don’t meet the minimum qualifications of night or IFR time. But still have 7000 hours.