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That drug testing for machinery which can cause serious harm isn’t such an out there concept.
Right, but the practicality? It would still be hard and expensive to catch every outlier case such as this one with drug testing.
[edit] I’ve looked it up and in the Netherlands, drug testing is only legal for some very specific professions where there is a risk of serious, large-scale harm such aa for instance pilots, like you mentioned. Other than that, it’s illegal because it’s medical information, and considered too invasive.