Had a good friend of mine mid last year have a heart attack, while out on a long mountain bike ride.
1st class medical, late 30's, flying corporate, the epitome of perfect health.
Not an ounce of fat on him, great muscle tone, ate really well, exercised regularly.
Just had the out of the clear blue, widow maker heart attack.
He survived, but will most likely never be PIC, again.
Regular physicals didn't predict that.
With freak anomalies like that, how can any class medical certificate be any good?
What's the answer?
I don't know, but I do know I'm sick and tired of the bullshit red tape.