agree  

this is the answer. 

the flight request comes in. you the pilot decide if it can be done legally and safely, if yes, accept, if no turn down. if you accept and the medical crew refuses on whatever grounds they offer, drop it, forget it, go back to bed. 

for whatever reason, this simple concept seems difficult or impossible for some pilots to accept. very strange. 

are a large portion of flights medically unnecessary? yes. do the flights put financial burdens on families? yes. one day there may be nuremberg trials of capitalism and we pilots may be in the dock. at that time our defense can only be, "i was just following orders--just doing my job." history shows that defense failed--will it succeed for us if and when we are all called to account? your guess is as good as mine. meanwhile, up to our necks in the system, we press on.