I think most can agree the altitude limitations in Basic Med (as well as the other limitations) don’t make much sense for a variety of reasons. Even the FAA has admitted in their recent report that there is no evidence to support the thinking that somehow Basic Med pilots are more likely to die while piloting than someone with a standard medical. if there is no medical basis for the Basic Med limitations them why do they exist? The pilot licensing and proficiency standards have not changed. So what is different about being on Basic Med? If you are not medically fit to fly then you should not be flying period. The few pilots who know they are not medically fit and still fly are just doing it without any medical at all. No rules are going to keep these folks on the ground.
I am happy to see the gross weight and seat restriction limitations lifted in the new bill. That is great news for those of us that fly twins or large single engine turbo-props. The real question is who is leading the charge to get the altitude limitation added to the 2024 FAA reauthorization bill? Where is AOPA and EAA on this issue? They kind of fell short on getting us a “no medical” option the first time around so the least they could do now is push through changes to make Basic Med less restrictive. As for the final limitation of 250 knots indicated this is the silliest one of all since it really Is not even a limit. True airspeed changes with altitude so just fly higher if you want to go faster. I am not even sure if anything other than a jet could hit 250 knots indicated at 25,000! This limitation should be removed just because it is silly. Yes I guess you could argue that there are some personal jets that are under 12,500 pounds that could hit the speed limit but then you have to ask the question what does speed have to do with a medical? Again the answer is nothing.