Med-trans  

Good and bad news is almost zero management, until something goes wrong. On the medical side 4 managers for every 1 worker, on the aviation side, 50 workers per manager, and spread over multiple states.

At least they are not in your business everyday, but when you need them to actually answer a legitimate question about the policies, and procedures or rules and regs, it is like pulling teeth.

It really is one of the last old school cowboy operations. I kind of like the autonomy, but just know you are on your own. The pay is crap, and some of the bases the med crew have no adult supervision.

It can be like being an elementary school teacher at a school with no principal or superintendent depending on the base.

So if working in a craphole for low pay is for you then it ain't that bad. I can live with it. 

Covid is partly responsible for the increase difficulty recruiting as well. Flying some covid casualty with a N95 on all the way, then having to decon the cockpit, is not a big selling point.