Quote:
Originally Posted by deltabound
(Post 641321)
Personally? I think the feds should devise realistic medical evaluations for pilots and as long as you can pass them, you should be able to work in your profession as long as you want. Clearly, the current medical exam is a throwback to the 1950's and needs to be addressed, but I suspect many pilots (particularly the grey-haired variety) would probably fail. To them, an arbitrary age 60/65 rule is in their best interest as it keeps them in the cockpit longer . . .perhaps too long.
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A couple of issues...
A more thorough exam would require more technology and be more expensive...who's going to pay? $120 every six months could easily become $1800 every six months to pay for MRI's, treadmill tests, etc.
There are two medical concerns:
- Gradual degradation of ability due to illness or age. This can hopefully be detected at a routine medical before it reaches dangerous levels, or at least it will get caught within a few months, minimizing the risk window.
- Sudden incapacitation. The risk of this can predicted:
1. Age: The risk goes up with age, and it increases in a non-linear fashion after age 55 or so. For this reason it makes perfect sense to have an age limit and I think 65 is about right. REGARDLESS of how well you do on physical exams, body-fat tests, cardio tests, cognitive tests, and simulator checks a 75-year old has a very high chance of sudden incapacitation compared to a 55-year old.
2. The presence of certain diseases (cardiac, diabetes, etc).
The current exam is probably good enough in that there are very few sudden incapacitation events in the 121 world.
What they could do to improve it would be to require a military-style cardio fitness test (run, swim, bike, your choice) and establish body-fat standards. This would not cost much and could be administered by the airlines coincident with SIM or recurrent events. This would treat the root cause instead of using expensive tests to detect the symptoms after the damage is done. A little invasive? Sure, but I would be all for it because the unfit, overweight pilots would be better off and happier once they got in shape anyway.
I would probably also be OK with an annual blood panel to check cholesterol and a few other things...the benefit of that would be more to inform the individual in time to do something about it, with disqualification only for extreme cases.