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Why is it that a Canadian driver with one leg is allowed to drive in the U.S.?

While Canadian driving rules are very similar to the U.S. DOT's, there are some minor differences.  Canadian drivers do not carry a medical card since their CDL includes a medical certification.  Additionally, even though they don’t have the same ‘waiver’ program as the U.S., they do have a program in place.  Their CDL includes restrictions such as ‘automatic transmission only’ if a medical condition such as a missing leg exists.  However, the restrictions are not a hard and fast rule for every condition and should not be used in deciding whether to put a driver out of service.  The best rule of thumb if you feel a Canadian driver with a valid CDL has a condition that prevents him/her from legally operating in the U.S. is to contact the Federal Motor Carrier Safety Administration for guidance.