The Coast Guard has a big presence in Cold Bay along with one of the longest all weather runways in the state. In almost any weather they can fly into King Cove via pilots trained to deal with extreme weather and get the ailing patient out to the Cold Bay runway for medieval to Anchorage. What the hell is wrong with just using the assets we already have in place there if the real reason is medivac  rather than just winning an argument with the "overbearing government". The Coast Guard is ready and willing to do their jobs any time of day or night and they are already on the appropriations list.