G'day Dutchroll,
My argument isn't about Commercial Pilots meds, but private pilots. Never the less, I still think there is merit in challenging the notion of the process for commercial pilots too. Whilst you have modified your post and had used an example of some bad behaviour, it didn't cause an accident as the multi-crew in the cockpit provided safety redundancy. We all work in an environment that require us to follow rules around safety, that become sackable offences and some even have criminal repercussions when not followed. When a commercial pilot knowingly gets into a cockpit and they are not well, you have to question the culture of the company and his fellow pilots and if the rules and training are being followed.
Having a class 1 CASA medical will not identify you developing a medical issue between check ups .... in fact that how it goes, one year your fine the next your not.
Back to the private pilot issue, which we directionally seem to agree .... I did raise the topic with RAA about 18 months ago and asked about the stats re accidents owing to medical issue. At the time the response was given as being very small in the context of more than a decade of history. As I said, I'm not aware of RAA planes falling out of the sky owing to medical reasons, notwithstanding there will be some.
I'm not convinced that CASA's approach to PPL & RPL medicals is of value, I wonder if it is causing pilots to avoid being open with their Dr and their medical conditions. I think the RAA approach allows pilots to develop a good work arrangement with the Dr to access proper treatments and management without fear of big brother stepping in and grounding pilots with an over reaction in the name of safety.
Food for thought?
Cheers
Vev