Who honestly thinks Victor 1 is a safe route,?I've done it once ,but it is anything but "safe" a mile off shore at 500"!.
This debate goes on and on,,,,,there is nothing stopping anyone from getting a CTA endorsement,,,get a PPL and a class2 med and go for your life,,,,if you can't get either of those then choose to fly where where you safely can,,,some may not like it but that's the rules as it stands. I don't know about the US system whether you can go into a CTA without a medical or not ,it is a lot more relaxed there although I hadn't flown in CTA while there