Investigate the Reason for Everything

How healthy do you need to be?

📌 Key Health Aspects Checked

Health Aspect

Commonly Checked For…

Vision (acuity + color)

Nearly universal across all license types

Hearing

Often required for commercial

Heart health

ECG common in China, Japan, France for professionals

Mental health / cognition

Germany, Japan, Brazil emphasize for older/commercial drivers

Mobility / physical coordination

Commercial and elderly drivers in most countries

Drug/alcohol testing

Sometimes part of commercial testing or post-accident review

🧠 Cognitive & Age-Related Checks

Country

Special Testing for Elderly Drivers?

UK

Self-certify at 70, retest not required unless reported

USA

Varies; some states require retest or doctor’s note

Japan

Mandatory cognitive tests at 75+

Germany

Strict testing after 50 for professionals

Australia

Annual doctor’s review after 75 (some states)

Sweden

No age limit, but health checks tied to function

Brazil

Annual check-ups from age 65

🧭 Observations

✅ Commonalities

  • Vision tests are mandatory almost everywhere.
  • Stricter rules for commercial licenses (buses, lorries, taxis).
  • Age-based thresholds for more frequent health evaluations.

🔍 Differences

  • Self-declaration mandatory physician exam: varies strongly.
  • Psychological assessments more common in Germany, Japan, and China.
  • Enforcement and corruption vary significantly—India, parts of Africa have reported inconsistent application.

🔄 Global Trends

  • Rising concern over elderly drivers in aging societies (Japan, UK, Australia).
  • Telemedicine & AI diagnostics beginning to appear in renewal processes.
  • Mental health awareness increasing in transport licensing (especially post-COVID).