I have previously said that the medical guys who have this mindset are bad enough, and I don't understate that. However; the real failure is in the leadership that does not apply sanity to the situation. The med guys give their worst case risk predictions, but where it the other side to balance it out with real world ORM? That's a failure of the pilots that run the AF. Most of us recognize that overall ORM (the risk that counts) is more affected by competence and ability (more competence equals decreased risk) than it is by some ocular condition that COULD cause an eye issue in One in Ten Thousand people over a span of 10 years, etc. It's the AF leadership that should recognize that med side is just one input; instead, they take the raw med input and run with it.