I agree that the elimination of the traditional 3rd class medical should happen and will best be accomplished by legislative action, but disagree that the "money" from the medical community is in the way. As an practicing medical specialist who is also an AME, I can guarantee you that 3rd class medicals are almost always a money - losing proposition for AME's who have other clinical responsibilities. The time required to do a good job on the ( almost always medically unnecessary ) exam, deal with the data entry, process the medical data and cope with the necessary explanations/documentation required for the usually benign medical "conditions" on the AMCS system usually far outweighs any reasonable fee for the exam. I suspect that the FAA physicians and staff in Ok City ( who really are, in my humble opinion, good, well- intentioned and hard working people ) would tell you the same thing. Most of us, who do this for a passion for medicine, aviation and pilots, would far rather devote the energy to our commercial 2nd and 1st class career pilots who, I feel, should meet a high level of both medical and professional qualification, and who often do have medical issues that need extra attention. Inertia and angst regarding the rare "what if we missed" scenario are what impede FAA elimination of the 3rd class medical, not " medical money".