The strange thing is, I can understand the idea, and original concept of a regular check of an airmans health. We age, we don't always live the healthy life style, we don't see cataracts forming instantly, we don't realize our hearing is getting slowly worse, we don't always 'feel' weak. Any or all of these things are impairments that can seriously affect our ability to fly safely. So, the concept of a regular checkup is good, but the implementation of that concept has gone horribly wrong.
The recent discussion about OSA and BMI is a good example. I'm sure there are people out there suffering from it right now, and barely know they have it. So in this case, a guy with some serious OSA gets his student cert, takes a bunch of lessons, gets is PPL, and is flying out there with an impairment. The question then becomes what we all are worried about and that is how much nanny state do we want in OUR lives? How much govt interference for the protection of society(school buses full of kids driving under us) can we accept?
So, having said this, I will mea my culpa and say that some type of recurring basic health check having to do with eyes, ears, and motion might not be a bad idea every 3 years. I am sure my hand-eye coordination has decreased in 30 years since I started. My hearings isn't what it used to be, and I would be remiss in not taking into account these things with respect to aviation. I don't cut things as fine as I used to, but that's up to the individual and each person gets to decide how much risk they are willing to put up with. As I age, I also realize my judgment and perspicacity have improved.
We decry the crappy aged, or ineffective drivers on the roadway for the same issue we face in our own endeavor. We hurl invective at any driver which shows little awareness, or regard for their medical ability to drive a car, but want the feds completely out of the medical game with respect to GA PPL? I guess I'll suffer the slings and arrows, but I would be ok with some kind of middle ground. However, I would take the FAA Aeromedical branch out of it, and maybe provide a basic set of tests for each state or something. Not sure how it would work, but I don't think a test of vision, hearing, and motion sense is asking too much every 2-3 years. Maybe a bit more than what the state DL requires, but not the big mess the FAA is involved with.