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A couple of areas that are consistently overlooked are the declining fitness, strength and medical condition of divers as they age. The second is the change and updating of information and techniques. The one-time certification card somebody obtained 20 years ago, might be widely accepted, but how safe is this diver? We have the same problem on our highways and nobody has been able to find a solution until after the accident and a judge orders the license pulled.
You might think that certification agencies or insurance companies might get onboard with an annual skills evaluation. Means more profits for them, no?