Some years ago on the RAAus chat group (before it was shut down by the executive for discussing issues embarrassing to them) this issue was raised. Somebody came up with some official numbers from the USA. Around 1% of accidents in powered aviation where the pilots had an official medical had a medical possible cause. Amongst balloon and glider pilots with self declared medicals that number was around 0.5%. Now I suspect that many glider pilots in the US actually have a power licence also and a possible reason is that glider and balloon pilots have at least twice the accident rate of power due to "dumb pilot tricks" so the raw numbers don't mean much.

In any case medical causes aren't a very large part of aviation accidents for whatever reason. I do agree about having regular medical checks though for your own health and longevity....... so you can die of dementia in a geriatric ward. Great. Maybe we should take Rumpole's advice "there are no pleasures in life worth foregoing for another 5 years in the geriatric ward."

The medical issue is really likely historical from an earlier era when people actually thought governments knew what they were doing (WW1 and WW2 - what were they thinking?). Private pilots were looked upon by governments as a reserve of people with militarily useful skills (Like rifle clubs). They could form an instructor cadre if nothing else. Up until at least the mid 1950s in Australia the government would subsidise a PPL for this reason. Hence the medical, somewhat akin to a military medical. When I started gliding in 1966 it was almost the end but clubs would get a subsidy for glider pilot certificates achieved. Money would go from GFA TO clubs, not the other way. This is no longer a valid consideration but the bureaucratic requirements grind on.

CASA is right now seriously considering removing the medical requirements for the PPL (other than an unlimited driver's licence) for day VFR in aircraft up to 1500Kg with only one other occupant than the pilot. This brings it into line with the current RAAus requirement (they've got about as many members as there are PPLs in this country). The CEO is a proponent. This was addressed back in 2002 in the original rec licence proposal that was sabotaged by the GFA and RAAus. The medical issue was addressed in detail in that proposal including the recognition that it was worthless for accident prevention. Maybe these people should declare to their passengers that they don't hold an aviation medical - like the EXPERIMENTAL sign and the "Fly in this aircraft at your own risk" sign in homebuilts.

As a society we try to avoid unnecessary risk to innocent 3rd parties. If you get in car you are risking the person coming at you being suddenly incapacitated and hitting you head on. If you or your loved one rides in car they are taking the same risk that the driver collapses and hits the on coming semi. Given the relative amount of driving vs flying the risks would seem to be small and society accepts these risks. The risk of doing damage to anyone else while flying seems to be much lower. It seems hardly a week goes by without a car or truck hitting a house though.

Note in Queensland they no longer test vision for drivers! My optometrist is appalled. He's had people drive in and test legally blind. So maybe a driver's licence and a statement from your optometrist should be enough for flying just to protect the other airspace users although ATSB are doing their best to convince everybody that see and be seen doesn't work. Keep it up fellas and nobody will even bother looking. Bit like "you have x seconds to live after entering cloud". Counter productive.

Mike

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 At 06:16 PM 18/05/2012, you wrote:
> I wonder what statistical evidence there is for the added safety value of the Class 2 Medical.

Let's also not forget that glider pilots are aging (like their aircraft), so statistically your chance of developing a medical health issue is increased just by virtue of being around longer. Diabetes, high blood pressure can be silently doing you damage.

Many chronic medical problems can be better managed when they are diagnosed early, so aviation medicals aside, everyone should have a family GP and visit them once a year for a health check (even the young folk). Pee in a jar, get your blood pressure checked, have your blood glucose and lipids checked.

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