The problem with "You have shortness of breath, angina, light-headedness, something and choose to dive. Ok no problem" is that in a diving accident, the person who ends up dieing is not only the original victim, but the rescuer! If the diving leaders are willing to accept this risk (and any resulting liability), that's up to them. Personally it's not something that I see as either responsible or professional.
I dive with family. They all know that I am a heart attack waiting to happen. Sixty four years old with coronary artery disease and, oddly, my doctor is ok with my diving. Even my cardiologist just nodded his head when I mentioned it. That's not like a guarantee, just an acknowledgement that it is an acceptable risk.
When they put in a stent 6 years ago, I retired. I now live a life of leisure, diving when the opportunity presents itself. All of the dives are beach entries with long surface swims. I hate it. But I do it because the rest of the family wants to dive.
You wouldn't say that if you lost a loved one to a diving accident, that the cause of death was poor instruction; now would you?
As a Junior Open Water diver, my grandson is limited to 40' and we keep him in the 30' end of the ocean. His father is a Rescue diver and a VERY fit former Marine. Somehow, I think he will be quite safe. I don't waste a moment thinking about it.
Personally the 1 in 200,000 dives statistic is horse ****. Even if the number of dives could be established, which it can't (has anyone asked you how many dives you've done last year? No one has asked me). The statistics register deaths not near misses or injuries. Both Trace and I have reported making rescues weekly. You say the training is good enough, we disagree.
You feel that if these divers die, it's there own fault. I believe that this is a shared responsibility. If health care is or becomes government controlled, Society will pay the bill (as it does now in Canada). That makes it a social responsibility. People can't act anyway they like and expect Society to pay for it. It's the same as driving a car at 100 mph through a small town; it's dangerous to others. You may accept the responsibility for your own death, but others can get hurt as well and that's not your call.
I am 100% AGAINST socialized medicine. Neither the Canadian nor the British plans are worth a damn. Horror stories of rationing and lengthy waits for appointments abound. We will, no doubt, have the same results!
The system we have in the US today is perfect. When I need something I go over to Kaiser and they take care of it. I can get an appointment the same day if things are really serious and the 'clinic' has every diagnostic tool known to man. All under the same roof! For the real emergencies, I just present my card at any hospital. Simple as that!
In any event, every Rescue diver knows better than to create a second victim. So, if attempting to rescue me presents any risk whatsoever, skip it! I have lived by my own decisions for a very long time and it has worked out pretty well so far.
I don't buy into this "society's interest" crap. That can be extended to make just about anything illegal. Firearms comes to mind. Yet firearms are essential to maintaining freedom.
Scuba diving has risks, society would be better served if we prohibited it!
Dirt bikes, skydiving, automobile racing, mounaineering, climbing, just about anything you can come up with is not in society's best interest. If reducing the cost of socialized medicine is the goal, all of these sports need to be excluded! And we have to have compulsory exercise! All neatly recorded in certified log books...
Automobiles are another: eveybody should live in a high-rise over the top of their workplace and never have to commute more than a few hundred yards! Or they should take a cab or public transit. What a load of crap! The US is primarily a 'flat' model. We don't live anywhere near where we work and public transit is a joke or dangerous!
No one is suggesting puch-ups, so be realistic. This is not a matter of exclusion. If you want to learn to fly an airplane and have a heart condition, you may lose your license. Is this all about elitism? Obviously not. If you want to be a lifeguard and they ask you to swim 600 meters, is this elitism? No.
In the case of flying, the medical requirement isn't to protect the pilot, it is to protect people on the ground.
In the case of a lifeguard, it is a JOB requirement. Recreational diving isn't a JOB. There is no reason somebody needs to swim several hundred yards to dive off a boat, descend the anchor line, swim around the reef, ascend the anchor line and get hauled back on a boat. It just isn't an endurance contest. Anyone can do it and many thousands do it every day!
It's the same reason why standards are high in major universities. It inspires people to strive for excellence. Now many people just want to live in a "good enough" world.
But many do! Diving just isn't that important to many divers. They can take it or leave it and the less effort the better. So what? It's just a hobby and not even an important hobby. Maybe it's just something to do on vacation. Warm water, boat entries, good visibility - what's not to like? But take it serious? You must be joking!
If people want to excel, go for it! But don't try to mandate it for others. Or make it a condition of undertaking the sport. Diving just isn't that important.
Richard