In the U.S., you might still be able to fly under BasicMed as long as you qualify for a driver's license. Here, Transport Canada told me I'm not likely to be allowed to hold any license or permit again (even the Recreational Pilot Permit, our equivalent of BasicMed), so my wings are permanently clipped.

Surprisingly, it was the spinal injury that grounded me (which my orthopedia surgeon think was bogus), but I know that if I beat that, they'll just bring up the ADT+Erleada that I'm on permanently, so it doesn't seem worth spending $10K+ in legal fees and a year or more of my life to fight it, even though the aviation lawyer recommended by COPA thinks I have a decent case and could set an important precedent.