The patient is the med crew's customer and the med crew is the pilot's customer. A lotta guys just can't get their heads around this concept. They usually don't last too long. The few that can and do understand the concept spend as long as they want in HAA and never have any crew problems or personal problems.
If you think you are in charge of the business operation as the pilot, best thing for you is stick to tours or utility or something else. You won't last long in HAA.