device he/her check the sugar level and according to the result of the device decide to fly or
not
This is a individual responsibility, (see EM Sport Aviation Magazine of June 2001 ). Individual
responsibility has to be included in the training, we will see that later on.

	In USA too you can fly a PPL with a bypass surgery, (See EAA Sport Aviation Magazine of
June 2003 )-

In Europe some Captain on Boeing at Air France flight with a bypass surgery, they have strong
Insurance companies and Union which protect them, but like any bureaucracy there is a double
standard because with a PPL you cannot flight with a bypass, (at least in France).

	Even so it is more complicated because when we have been invited (with Grace) to a
cardiac trial at Waikato Hospital, 7 couples were there and the big surprise that all the men (not
Women ) had the heart attacks. Doctor Hugh McAlister Cardiac Research said men are more
subject to have a heart attack than Women, 3/4 against  1/4 for women, because according to
some research women have a natural protection with hormone reproduction.

	If we add gene. blood type, race, how it is possible to make a general rules for a medical
standard?, not mentioning progress in surgery every year. My GP for example told me: you do
not have angina and blood pressure problem because it is your genes?, your are lucky to have
thin blood, and even so I had a heart attack 3 years ago, so what happen?. although the only
responsible answer should be my high level of homocysteine, but when I asked to doctor
McAlister what create heart attack? he said there is still things we do not know. The CAA know
about homocysteine but it is not their responsibility and authority to take a position.

	The conclusion of this complicated matter is; it is impossible to make a standard rule, or at
least it should be reviewed every two or three years to meet new discoveries on medical
matter. The other problem is, we need a rule. If everybody will be perfect we do not need a
police force. Unfortunately it is not the case. As we suppose to live longer, age has nothing to
do with it, but once again it is an individual responsibility to be honest with yourself and the
authority and inform the CAA of your state of health every year and give up when you are really
crook according to some medical evidence. Even with a heart attack you recovery can be
good with some new discovery and progress depends of the state of the damage on your heart
and arteries.
	For this reason in overseas they create some new licenses limited at two or four seats.
(Recreational, Sport, Ultralight). See below. But here mostly we talking about PPL medical.

	The other problem is after nearly 50 years of bureaucracy dictatorship this has created an
attitude of suspicion from the pilots, but times change. I think we are lucky in this country
because 3 of our CAA medical Officers are pilot some with a degree of engineering and
aerodynamic, so, communication is more easy because they understand what going on in a
cockpit. What we do today in sport aviation and homebuilt aircraft was not possible 20 years
ago. The CAA finally understood it is a priority to communicate with the aviation business and
pilots. But it will take time to change attitude on both sides to create a training of individual
responsibility and trust each other, also when safety is involved no favor is permitted..

	TRAINING - Training for the PPL should be according to the international standard ICAO
not any more the Commonwealth or UK, because as I mentioned before with a PPL you can
hire an aircraft in overseas like a car with of course the proper rating you have on your log
book.
	I remember in 1972 in Australia when I try to have my conversion of my French PPL the
authority force me to pass an exam after my flight test (the flight rules and procedures ) which
was the same of the one I learned in France, when I mentioned it is clearly written on my
French license, (delivered according to I.C.A.O rules), Answer: yes but here we have our own
regulation. When I passed the exam after that they ask me 3 hours instrument training already