Yes, I see what you're getting at, but I don't consider it an issue. If you immidiately take piloting skills instead of armor or a weapon, that's fine, and yes, you are specialized. Get used to it, and make sure that you don't get into a lot of fighting outside your vehicle (which won't be hard if you're in a fighting vehicle, as you have the luxury of dying with your ride).
As for Medics/etc, you have the option of either getting medical skills immidiately and sticking to Standard Assault/Agile armor until you get more certs to buy better armor/weapons, or you could buy better armor/weapons immidiately and do the medical skills later. It's up to you, but either way, nobody will ever be able to be the perfect character when they start. You're always going to have defficiencies, and that's part of what makes leveling up fun -- seeing yourself become a more rounded and versitile character.
Oh, and, a guy who wants to get some medical skills shouldn't worry too much about not being an actual medic until a little later. Medics are fighters too, so you'll be able to get some practice before as you slowly build up the certs for Medical/Advanced Medical.
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