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EMS is no diferent than any 135 charter operation. For all the talk of the medical folks being crew, baloney. They are passengers as far as flight goes. If I tell passengers I believe it is safe to fly and they don't want to fly so be it, we don't fly. If I say it's not safe to fly, we don't fly, period, no debate. I can't and won't try to force people to do anything they think is unsafe. If there are med personnel that commonly refuse to fly when I think it's safe that's their employers problem.

I've approached fliying passengers this way for 40 years and haven't heard any complaints.