wrote:
On Friday, July 22, 2016 at 12:46:03 PM UTC-4, wrote:
Um, the plaque test should pretty much do it for a read on
arterial calcification. An MRI wouldn't be a bad idea if one
has a family history of Intracranial Aneurysm Rupture, but
otherwise it's a waste of money. The former is worth paying
the deductible as it answers a lot of questions.

The average cost of a MRI in the US is $2,600. How often do you
recommend doing this?

If you can't afford medical insurance, you can't afford to fly.

Medical insurance will not pay for a MRI "just because"; there would
have to be some indication of an issue to justify insurance paying.

And the point here was hidden condtions that don't show up in any but
the most extensive of physicals and certainly not in a 3rd class physical.

My plaque test after deductible was about 35 bucks. As they said
there wasn't even a hint of any, I figure check again in about
10 years. Unlike most Americans I'm not overweight, don't smoke,
don't drink, exercise daily, and eat very healthy.

And a fair number of people who are not overweight, don't smoke, don't drink,
exercise daily, and eat very healthy drop dead every day from something
that did not show up in a routine physical.

So what does that have to do with 3rd class physicals?

You can save a loved one or yourself by finding out if you're
afflicted with atherosclerosis and/or vascular plaque, as this
is what causes a sudden myocardial infarction which has caused
numerous plane crashes.

As there has never been any test for such things in a 3rd class physical,
it is irrelevant to the issue.

There never has been any test of mental stability for civilian pilots.

Well, not directly. But if their history of prior diagnosis by another
doctor gave indications or prognoses of such, then it may be an
insurmountable hurdle. And might should be.

If what history?

Very few people go to mental health professionals unless there is a
big problem.

Then they've probably not been hospitalized or incarcerated,
and aren't a known risk. This doesn't mean unstable people don't
quietly walk among us. The problem in this category seems to be
a lack of identification. (most "terrorists" lately may actually
be psychotically disturbed folks wearing that label.) My GP knows
very little about mental health beyond a Wikipedia education.
Addressing this gap is something that could solve several problems.

So how many crazy GA pilots are crashing their airplanes per year?

Attention deficit and lack of concentration go with depression, and
cognitive rigidity. You don't have to be suicidal like that
commercial pilot that intentionally nose grounded a passenger jet.
I'm not saying it's statistically a big problem today. Substance
abuse is a mental issue, including flying intoxicated.

And the relevance to a 3rd class physical is?

Most crashes are pilot error. Most errors are mental lapses. Why?

Lots of reasons and well documented such as "Hey, guys, watch this",
get home-itis, lack of proper planning, etc.


--
Jim Pennino