TimTaylor wrote: Some are grounded for life. Some are not. That goes without saying. Most here know that. Many who are able to regain their flying privileges do so by very costly medical test and procedures to prove their medical condition is "in control" and many of these must be done annually. Personally, I choose not to mislead new pilots into thinking there is little or no risk to having an FAA 3rd class physical. With Basic Med, there is no reason to take this risk if you don't need to. I suspect most pilots will move to Basic Med if not flying for hire.
How many of those who are grounded for life should actually be flying?
If they are healthy enough to fly and choose not to go through the FAA special issuance process whose fault is that?
I agree that it can be costly to go through the special issuance process. If one chooses to do that and gets their medical back the only have to do it once, not annually to participate in BasicMed.
The risk of getting a third class medical is highly dependent on the applicant. If you have a questionable health history your risk goes up. If you are healthy with a clean history you risk is very small. Regardless of the risk if you want to participate in BasicMed you have to take it.