Ever so often there are bedridden men and women who receive help from medflight fleets because these patients are foreigners and need to be transported to a new facility. Every once in a while there are case patients that have need of a complete supply of respiratory equipment … and these are the men or women that can not fly with normal air charter services. As these men or women are in a non life or death situation although the patients in need of help are suffering a critical ailment , air evacuation fleets have to be used. Mostly all air evacuation charters would be designated as being operations that are privately held. The cases sometimes will look around for medflight companies with a qualified hospital volunteer. There sometimes are med flight establishments which are available to be hired in the United States.