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I am in the USA. It is interesting that MSUK has gone in this direction. Over the past several years USA race licensure bodies have gone in the opposite direction. I just received next year's medical forms for my four racing licenses. All have now gone to a simplified medical form that basically asks the physician to examine the applicant and attest whether, in their judgement, they can stand the physical stresses of motor-racing. None require an EKG an longer unless there is prior history of cardiac disease. I am a physician, and I suspect this evolution is on the advice of lawyers, to shift potential liability away from the licensure body and towards the examining physician. I believe the USA is a bit more litigious than the UK.
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