Pretty much any EM doc can fly after obtaining some flight certificationS and training. We don’t need to be a paramedic. I mean... cmon...
That being said, there have been numerous studies that show pretty much no difference between the two so why pay for a Ferrari when a Ford escort will get you there just as easily?
I’ve flown a few times during residency. It’s a lot of fun but I wouldn’t do it for a profession. It’s one of the highest risk occupations in the country and the pay is not great. Also the hours kind of suck and you’re usually on for 24 hours and may not do anything during that time. I mean it would be far better to just work in the ED and then spend money buying helicopter rides on blue bird days in exotic locations. I once did a helicopter tour on Kauai and it was probably 100 times more fun than running life flight taxi runs.