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a flight request, we are required to state the reason. Wx, duty day, mechanical issue, etc.

So, if the pilot has assessed the current/forecast weather conditions as acceptable, but is declining for wx anyway, what would you say is the reason for the decline?

Why are we hestitant to state the reason? The pilot is accountable for their aviation decisions, why shouldn't the medical crew be as well if they are going to be involved in that process?