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For pilots, that system means a month or so in an FAA-approved rehab facility, then monitoring and drug tests. And if the FAA clears them to fly again, the treatment usually continues for at least three years. "Since the inception of the HIMS program, in the last 43 years there has never been even one, not a single commercial passenger-carrying airline incident or accident, that has been alcohol- or drug-related," Dr. Hankes said. "That's the proof in the pudding." "If the general public had a HIMS-style program available to them, do you think relapse rates would fall as low as they are for pilots?" Dokoupil asked. "Well, that's the big question. There's a key element missing in the general public, and that is, we don't have the leverage." "Everybody is afraid of losing something." "Yeah, but it's very easy to hide out there in the general public. If you threaten a pilot with taking away his wings, it's like threatening a doctor with taking away his stethoscope. That's a lot of leverage. If they want to get back to the cockpit or the operating room, they gotta jump through the hoops." And jump they do: Similar programs have been used successfully by doctors and flight attendants, and now police and fire departments are interested, too. For pilots, it's about a lot more than just winning back their wings. Dana Archibald told Dokoupil that, were it not for the HIMS program, "I certainly wouldn't be a pilot, but more importantly, I don't know if I'd be alive." Archibald is now a full-time 737 captain with a major airline flying out of Miami. And the Lyle Prouse story ends far differently than he ever could have hoped. After his arrest, he was a broken man on the verge of suicide. "I lost the will to live," he said. "And I thought I was too tough for that." "How close do you think you came to taking your own life?" Dokoupil asked.
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