I have been looking for an article that I had read that there was to be streamlining of the med cert to use approved providers only to reduce pencilwhipping of certs. I am very fit and honestly my cert get pencil whipped by a retired doctor working out of his home. Use to be $50 cash, the old doc died and I have new one $75 now. The reason I remember the article was I wasn’t worried health wise but I live in what seems to be the end of the earth CG related. Closest regional center 7.5 hours round trip, twic 5hr ect. I hate spending my time off chasing certs. The article had said it was also because a crew member died on a vessel because he was too fat to fit out an escape hatch. I know this is vague and I hate when someone just pulls something out of their ass so I will keep looking. If I use uscg to search my email it comes up with hundreds of results but like I said I will keep looking.