When I first heard this part about the sick passenger, it reminded me of a case in which the pilot was hit with an IFR altitude bust. It might (or might not - there were other issues) have been handled as a mistake since the ATC tapes showed some communication problems. But the pilot argued with ATC in the air and later justified his actions with a child. It didn't go well.If you have a sick passenger maybe just telling the controller you have a medical issue would work better than getting into a ****ing contest with the controller.
Different time, different place, different people, different FAA policies. Just reminiscing, not predicting.