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It's frustrating to be sure. I don't have the answer, but I think the root of the problem is you have a bureaucracy in which there is no penalty or repercussion for simply denying, deferring, or declining medical approval. If someone or a group of someone's in the medical branch disapproves your medical certificate, even if there's no significant risk associated with your health, no individual or process is going to hold them accountable. They can always fall back on the fact that it's their discretion... they were just making the most conservative "safe" (sarcasm) decision - when, in all likelihood, they often come to a decision that requires the least amount of effort or work on their part and/or be so overly risk-averse and conservative in order to cover their own @$$. Hang in there.