The difference here is that when your driving license expires, which is every 10 years till you are 70 I believe, you need a medical examination. Fail that and you get no driving license. It sounds tough but I agree with it.
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We need medical exams too but not every 10 years. After 68 I think we must pass them every 2-3 years. Don't wanna look at it cause I'm not close and I don't wanna think about it now :)