Aircraft up to 12.5k MGTOW
Up to 7 people
DPEs can use basic med

https://public-inspection.federalregist ... -26935.pdf

Step in the right direction of replacing all class medicals with a version of basicmed

As a reminder attached is the FAAs own study of basic med vs a 3rd class (very similar to a 1st class) much to their chagrin there was no notable “safety” difference between basic and FAA medicals

Very cool,. All that is needed now - is to permit operations in class A airspace and make it good internationally. Still great stuff for the Basic Med.


Josh

So does this mean that MOSAIC is a done deal?

180Marty wrote:So does this mean that MOSAIC is a done deal?

Far as I know, MOSAIC & BasicMed are two completely separate things.
I am / was interested in flying under sport pilot rules under the proposed MOSAIC rules,
until I read that they will still limit a SP to a single passenger.
Guess I'll stick to BasicMed.

hotrod180 wrote:

180Marty wrote:So does this mean that MOSAIC is a done deal?

Far as I know, MOSAIC & BasicMed are two completely separate things.
I am / was interested in flying under sport pilot rules under the proposed MOSAIC rules,
until I read that they will still limit a SP to a single passenger.
Guess I'll stick to BasicMed.

If you qualify for basic why would you even debating going to basic?

If you qualify for basic why would you even debating going to basic?

This coming January will be the 7th year of Basic Med for me. So, I am good for another 13 months or so. I like the idea of MOSAIC so I can fly my 180 with one passenger and not have to see a doctor at all.

180Marty wrote:

If you qualify for basic why would you even debating going to basic?

This coming January will be the 7th year of Basic Med for me. So, I am good for another 13 months or so. I like the idea of MOSAIC so I can fly my 180 with one passenger and not have to see a doctor at all.

What he said.
BM is good, but SP would be just that much farther off the radar.

SP will be my move for sure when MOSAIC hits

hotrod180 wrote:

180Marty wrote:

If you qualify for basic why would you even debating going to basic?

This coming January will be the 7th year of Basic Med for me. So, I am good for another 13 months or so. I like the idea of MOSAIC so I can fly my 180 with one passenger and not have to see a doctor at all.

What he said.
BM is good, but SP would be just that much farther off the radar.

Further off the radar is always better

I’m going to see if my AME will sign off my basicmed as well next time I go in for my normal medical, which I need for work, it would be nice to see first hand the process

So I’m curious how it’s more on the radar?

My understanding is you do a recurrent course online and then do a simple non reported to FAA physical every few years at any doc in the box

As far as our friends at the FAA go, what is the difference? Are we signing off on the FAA creeping our NDR records every time we submit with basic like when we fill out the medexpress for a class 1 or 2?

SP? Single Pilot? Sorry, I am missing it....

SP? Single Pilot? Sorry, I am missing it....

I think he meant Sport Pilot

NineThreeKilo wrote:I’m going to see if my AME will sign off my basicmed as well next time I go in for my normal medical, which I need for work, it would be nice to see first hand the process

There's no point in having a basic med if you have a regular medical.

Bonanza Man wrote:

NineThreeKilo wrote:I’m going to see if my AME will sign off my basicmed as well next time I go in for my normal medical, which I need for work, it would be nice to see first hand the process

There's no point in having a basic med if you have a regular medical.

This is actually not true. I would recommend that everyone get Basic Med behind there FAA regular medical. Basic Med only has 3 disqualifying conditions (Cardiac, Neurologic, and Psychiatric). Now albeit - each of these three categories expands into a number of diagnoses but it is still far less than that for a Class III medical or higher. I can think of a few of obvious examples:

1. Diabetes - Patient has poorly controlled diabetes. Hgb A1c is now > 9 and cannot be controlled without insulin. Under Basic Med - no worries. Go on insulin have a nice day and keep flying under FL 180 in an airplane with 7 seats or less under 12500 lbs. For class III or higher - well you could be shit out of luck. You would need to get an insulin pump and a special issuance sign off. Good luck there. You may never fly again. It is really hard to get a SI with an insulin pump.

2. Cancers - specifically certain chemotherapeutic drugs can ground class III or higher medicals. Basic Medical - well there is no med list - so if you feel good and can pass an IMSAFE check list - go fly an aircraft under the limitations of Basic Med.

3. Atrial Fibrillation - assuming it doesn't cause dizziness. You have a short run of A Fib and have it controlled with medication - no worries with basic med

These are just a few obvious disqualifying conditions for class III or higher medicals that would be permitted under basic med. There are many others. The other problem with not having Basic Med as a backup - is if you get one of these more benign disqualifying conditions then you are grounded waiting for the SI medical. If you have basic medical as a backup then you just fly within the limitations of the Basic Med.

When I was a younger pilot - I used to hear the old timers complain about FAA medicals and how restrictive it had become. It is pleasing to see the safety record of Basic Med being equal to that of a third class medical and hopefully this will keep the aging fleet of aviators in the sky for many more years.


Josh

Bonanza Man wrote:

NineThreeKilo wrote:I’m going to see if my AME will sign off my basicmed as well next time I go in for my normal medical, which I need for work, it would be nice to see first hand the process

There's no point in having a basic med if you have a regular medical.

I just wanted to do it for the experience, I still CFI and would like to be able answer questions about it a little better and experience is the best teacher

Dog is my Copilot wrote:

Bonanza Man wrote:

NineThreeKilo wrote:I’m going to see if my AME will sign off my basicmed as well next time I go in for my normal medical, which I need for work, it would be nice to see first hand the process

There's no point in having a basic med if you have a regular medical.

This is actually not true. I would recommend that everyone get Basic Med behind there FAA regular medical. Basic Med only has 3 disqualifying conditions (Cardiac, Neurologic, and Psychiatric). Now albeit - each of these three categories expands into a number of diagnoses but it is still far less than that for a Class III medical or higher. I can think of a few of obvious examples:

1. Diabetes - Patient has poorly controlled diabetes. Hgb A1c is now > 9 and cannot be controlled without insulin. Under Basic Med - no worries. Go on insulin have a nice day and keep flying under FL 180 in an airplane with 7 seats or less under 12500 lbs. For class III or higher - well you could be shit out of luck. You would need to get an insulin pump and a special issuance sign off. Good luck there. You may never fly again. It is really hard to get a SI with an insulin pump.

2. Cancers - specifically certain chemotherapeutic drugs can ground class III or higher medicals. Basic Medical - well there is no med list - so if you feel good and can pass an IMSAFE check list - go fly an aircraft under the limitations of Basic Med.

3. Atrial Fibrillation - assuming it doesn't cause dizziness. You have a short run of A Fib and have it controlled with medication - no worries with basic med

These are just a few obvious disqualifying conditions for class III or higher medicals that would be permitted under basic med. There are many others. The other problem with not having Basic Med as a backup - is if you get one of these more benign disqualifying conditions then you are grounded waiting for the SI medical. If you have basic medical as a backup then you just fly within the limitations of the Basic Med.

When I was a younger pilot - I used to hear the old timers complain about FAA medicals and how restrictive it had become. It is pleasing to see the safety record of Basic Med being equal to that of a third class medical and hopefully this will keep the aging fleet of aviators in the sky for many more years.


Josh

My understanding is if you loose your FAA medical you’re also cooked for basic

So if you ran both, anything happened to the FAA medical it would also take out your basic

NineThreeKilo wrote: My understanding is if you loose your FAA medical you’re also cooked for basic

So if you ran both, anything happened to the FAA medical it would also take out your basic

Only if you’re deferred or denied, and THAT’S why you get BM before there’s a problem. If you get a diagnosis of diabetes, you can’t fly under Class III but if your BM is already in place, you’re good to go as soon as you and your doctor agree you’re good to go.

The only reasons to get a Class 3 are 1)flying into or through Canada , 2) flying equipment or altitudes that are outside the scope of BM and 3) the one time that’s required before you can have BM.

I thought the trick to BM is to have it in place and then not get deferred or denied.

Basically if you have reason to believe you’ll be deferred or denied class 3 or higher don’t do the AME exam until you know you can pass.

In the meantime fly BM, or fly it forever if you can’t get your situation resolved.

Dog is my Copilot wrote:
These are just a few obvious disqualifying conditions for class III or higher medicals that would be permitted under basic med. There are many others. The other problem with not having Basic Med as a backup - is if you get one of these more benign disqualifying conditions then you are grounded waiting for the SI medical. If you have basic medical as a backup then you just fly within the limitations of the Basic Med.

When I was a younger pilot - I used to hear the old timers complain about FAA medicals and how restrictive it had become. It is pleasing to see the safety record of Basic Med being equal to that of a third class medical and hopefully this will keep the aging fleet of aviators in the sky for many more years.


Josh

If you lose your class 3(or 1st or 2nd) you automatically lose your Basic Med.

Bonanza Man wrote:

Dog is my Copilot wrote:
These are just a few obvious disqualifying conditions for class III or higher medicals that would be permitted under basic med. There are many others. The other problem with not having Basic Med as a backup - is if you get one of these more benign disqualifying conditions then you are grounded waiting for the SI medical. If you have basic medical as a backup then you just fly within the limitations of the Basic Med.

When I was a younger pilot - I used to hear the old timers complain about FAA medicals and how restrictive it had become. It is pleasing to see the safety record of Basic Med being equal to that of a third class medical and hopefully this will keep the aging fleet of aviators in the sky for many more years.


Josh

If you lose your class 3(or 1st or 2nd) you automatically lose your Basic Med.

AND that is why I am probably gonna go SP (Sport Pilot) when MOSAIC comes out

Halestorm wrote:I thought the trick to BM is to have it in place and then not get deferred or denied.

Basically if you have reason to believe you’ll be deferred or denied class 3 or higher don’t do the AME exam until you know you can pass.

In the meantime fly BM, or fly it forever if you can’t get your situation resolved.

^^^^^ THIS. ^^^^^^

Filling out the 8500-8 form is a big deal now. Even if you will eventually qualify for a third class medical - it can take months getting approval because some bureaucrat in OKC needs to find some lab or Xray result. The whole FAA medical process is broken and is designed to ground otherwise healthy older pilots. Basic Med bypasses OKC and the FAA in general. Go see you PCP - have him sign the form. Pack it away in your logbook and sleep well.

Just on a personal note. A friend of mine was involved in a crash in 2021. Survived but totaled his airplane and was a trauma system patient for 17 days. I won't get into the details. He is doing well and is still flying but the accident occurred while flying on Basic Med. He presented the Basic Med to the NTSB and FAA and had no issues whatsoever. The FAA is just looking for a checkbox that a medical provider has evaluated the pilot.

I would like to see elimination of the third class medical based on the safety data comparing Basic Med and third class certificates. I think having a non AME physician making the call for safety is in the best interest of everyone. The FAA medical has turned into a total shit show now. I have another friend right now who flies 121 and is grounded awaiting his first class medical. The FAA had him undergo a cardiac catheterization (gold standard for checking for diseased coronaries) which was totally normal and now wants him to do an exercise stress test on a treadmill. The treadmill is normally used as screening test for the cardiac catheterization. Just asinine logic and demonstrates the complete lack of medical knowledge within the FAA. His company is paying for the testing. If this pilot were GA only the testing would have cost over 12 thousand dollars. The cardiac catheterization also carries a 1/200 chance of having a heart attack during the procedure.



Josh

Dog is my Copilot wrote:

Halestorm wrote:I thought the trick to BM is to have it in place and then not get deferred or denied.

Basically if you have reason to believe you’ll be deferred or denied class 3 or higher don’t do the AME exam until you know you can pass.

In the meantime fly BM, or fly it forever if you can’t get your situation resolved.

^^^^^ THIS. ^^^^^^

Filling out the 8500-8 form is a big deal now. Even if you will eventually qualify for a third class medical - it can take months getting approval because some bureaucrat in OKC needs to find some lab or Xray result. The whole FAA medical process is broken and is designed to ground otherwise healthy older pilots. Basic Med bypasses OKC and the FAA in general. Go see you PCP - have him sign the form. Pack it away in your logbook and sleep well.

Just on a personal note. A friend of mine was involved in a crash in 2021. Survived but totaled his airplane and was a trauma system patient for 17 days. I won't get into the details. He is doing well and is still flying but the accident occurred while flying on Basic Med. He presented the Basic Med to the NTSB and FAA and had no issues whatsoever. The FAA is just looking for a checkbox that a medical provider has evaluated the pilot.

I would like to see elimination of the third class medical based on the safety data comparing Basic Med and third class certificates. I think having a non AME physician making the call for safety is in the best interest of everyone. The FAA medical has turned into a total shit show now. I have another friend right now who flies 121 and is grounded awaiting his first class medical. The FAA had him undergo a cardiac catheterization (gold standard for checking for diseased coronaries) which was totally normal and now wants him to do an exercise stress test on a treadmill. The treadmill is normally used as screening test for the cardiac catheterization. Just asinine logic and demonstrates the complete lack of medical knowledge within the FAA. His company is paying for the testing. If this pilot were GA only the testing would have cost over 12 thousand dollars. The cardiac catheterization also carries a 1/200 chance of having a heart attack during the procedure.



Josh

Yuuup!

And it just ain’t older pilots, there are younger guys who are plenty smart and focused, could easily run a marathon, but because of some childhood ADHD sales pitch to their parents, or traffic ticket, or other nothing burger that the real medical world would just laugh off, they have to spend the price of a damn car AND a year or more to get the quacks at OKC to grace them with a medical.

I agree fully, the system is a joke and the process is the punishment, there have been private pilots, airline types, even Hoover, where the FAA used the medical as an enforcement arm.

Really the basicmed model is the most scientific, logical, just and “fair” system we have and should replace ALL classes of medical

Hopefully with Elon in the DOGE office, and with how the FAA has treated him, maybe he can make some good changes