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I remember Grandma, Grandpa and Uncle David ALL having to go through the written and driving tests once they got to certain ages or started having issues. Uncle David's lisence was pulled after he plowed through a mailbox. It could have been pulled sooner. Grandma studied the rule book again and discovered that some things had changed and she hadn't realized it. I think perhaps they could require tests based on how long you've had your lisence. Everyone could use a refresher once in a while regardless of their age. It was good for Grandma and she was a accident free driver until she was bedridden. Grandpa was in danger of loosing his lisence last year because of cataracts. After he had them removed he went through the tests again passed.
I think also that a Dr's evaluation, if someone is stuggling with demetia, alzheimers, narcolepsy (This is already required reporting) and many other health issues that could cause dangerous driver mistakes should be made required reporting. As well, there should be some way that family can make a complaint to the DMV that they can go off of to check up on someone. The people that ride WITH the elderly or teenage or anyone for that matter, can see best what kind of danger they are/could be on the road.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma. 
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