Common Pilot Challenges in the HIMS Program
While the HIMS program offers a path to recovery and reinstatement, many pilots report significant and ongoing challenges. These issues range from financial and psychological burdens to bureaucratic inconsistencies and a lack of transparency. Below are some of the most frequently cited concerns:
Note: These challenges affect all types of pilots in the HIMS Program — including those with substance use history, SSRI prescriptions, PTSD, therapy disclosures, trauma history, or even suspicion without a formal diagnosis. A system that once focused on alcoholism now extends far more broadly, impacting mental health cases and non-diagnostic monitoring alike.
- Indefinite Monitoring: Pilots are often told they will remain under Special Issuance for the rest of their career, regardless of long-term abstinence or excellent performance.
- High Financial Burden: The cumulative cost of treatment, drug testing, AME visits, psychiatric evaluations, and travel can exceed $30,000–$50,000 over several years.
- Conflicting Medical Opinions: FAA consultants may override a pilot’s personal physician or psychiatrist, creating confusion and inconsistent outcomes.
- Opaque Decision-Making: The FAA often provides no specific criteria for reinstatement to unrestricted medical status, leaving pilots uncertain of how to achieve “success.”
- Risk of Retaliation: Pilots fear that asking questions or requesting clarification may be reported negatively, further delaying certification.
- Mental Health Impacts: Many pilots describe HIMS as an intrusive, adversarial process that increases stress, isolation, and the risk of burnout — despite long-term sobriety.
These experiences are not isolated. Pilots across airlines, unions, and independent forums have described a culture of silence, compliance, and fear. Advocacy efforts are underway to bring more fairness, transparency, and dignity to the HIMS experience. One such initiative is led by independent pilot advocates at a grassroots reform site created by those directly impacted by the system.