I think the heli pilot is ex-RAF. I know where you are coming from, but they do excel at a couple of things. With long extrications they are excellent, if you need someone who is agitated sedated for transport they are good. Ditto for 'live' intubations (whatever you might think of out of hospital intubations, sometimes they are worth the risk). They are also good for transporting to specialist units - best example was a burnt kiddie taken to a paediatric burns unit. They do tend to be overused which I think is part of the problem. But they are good when they are needed. The problem with bike paramedics, or extra trucks is that they will be used to fulfill ORCON rather than emergency patient care. If we get more trucks, then we'll use more trucks on people with stubbed toes with (difficulty in breathing).