The forest service truly believes they have priority. And as a huge part of the US government they do.
I've seen this agency strat with a 5000 acre fire and intentionally start a 20,000 acre fire around it. Burn entire communities for the sake of stopping advancement into a protected wilderness area. Lives lost, homes lost but hey the 3 eagles nests made it.
Trust me. Very little about life saving medical flights concerns them.