The issue of pilot health has long been a concern in the industry. In the United States, pilots are screened for medical or psychological problems before being hired, and are randomly tested afterward for drug and alcohol use. They must undergo medical examinations once or twice a year, depending on their age, to keep their certification with the Federal Aviation Administration.
They are supposed to disclose all physical and psychological conditions and medications or face significant fines. In addition to this “self-reporting” standard, most airlines also rely on other crew members to report suspicious behavior or monitor the health of their co-workers.
“I think that this incident is going to have a profound effect on the industry and how pilots are screened on an ongoing basis and what they are screened for,” said Peter Goelz, a former managing director at the National Transportation Safety Board.
“In the U.S., pilots are pretty much allowed to choose their own doctor,” he said, out of a list of approved practitioners. “It’s not the most rigorous process.”