One aspect of physiology that is not modeled is the gradual lowering of a pilots ability to sustain Gs after being exposed to them. I mean, lets say the 1st time you pull a high load to the edge of blackout it takes you a factor of "10" to reach that point. Well, 60 seconds later it will only take you a "9" (or 9.9 or 9.5 whatever). Each time you do it your tolerance for such action will decrease. Theoretically you could after a long hard T&B session have almost no tolerance left. It has been documented that sustained G forces will blur vision and decrease thought processes. All short term effects but real nonetheless.
Could we not model a cumulative G meter that could be reset whenever the pilot replanes? This would hurt me in the MA since I re-arm often and have flown 2+ hour sorties before, but I think it would add some more realism to the game.