How much does air pressure vary over a region, and how quickly does it change?
Had they known they wouldn't be able to rely on GPS, all that back and forth with ATC would not be needed, and they'd already have a plan B and a plan C for navigating.
It's unfortunately all slices of swiss cheese aligned perfectly, but I'd still blame the military for poking extra holes on the GPS slice.
medevac flight - there was probably some urgency.
And I am happy to be corrected but as I understand it, in the rural west more medical transport than you might think is by air. Distances are large, and population is sparse. You can cover more area with the same number of medics using a few airplanes instead of ground ambulances. So not all air ambulance service is critically urgent, unlike what we are used to in more populated areas.