The NTSB’s comment:
The 2008 accident statistics reveal a mixed picture. . . We are particularly concerned with the spike in fatalities in on-demand air charter operations. There’s a lot of room for improvement in this area, and as evidenced by our recent forum on emergency medical service helicopter accidents, we continue to do everything we can to identify the safety issues involved, and to advocate for the adoption of our recommendations that will make the skies safer.
Our Translation: "The 2008 accident statistics wouldn’t look bad except for all the air ambulance helicopter crashes. We’ve got some ideas on how to make air ambulance operations safer, but the FAA keeps ignoring us. As usual."