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you did a very good job of summing up the pressure to fly my company would never push us to fly or even show us the monthly flight numbers, however you could look in the aircraft log book and know how much the base was flying you had a pretty good idea at what volume a base would close but this was never discussed openly by managment. As far as the med crew is concerned I agree they would never directly say anything about the flight you declined but during the next day or two you would hear who flew the flight how the patient did and wondered why couldnt we could not make the flight. When I was in the GOM years ago we were under unbelivable pressure to push the weather. The company I fly for now in EMS never pressures me to fly and has a very strong safety culture but the pressure is still there in a very  subtle way.

 



  
 

 

 

 

 

 

 

 

 

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