yes, i have found in almost every organisation, there appear to be people whose only job is writing forms... I should think the State's willingness to issue me a driver's licence should be sufficient, if all they need is proof one is sufficiently fit to drive a car... If someone is so unwell/unfit that they cannot reasonably drive, then I imagine either the State would refuse it in the first place, or take it away/restrict it.
yes those things can be "gotten around", but that's a product of dishonesty and would be no different whether we are talking about planes, cars, or boats.
"look boss, 2 new forms today!" "good, good.."