Japan has similarly stringent testing, but owning a car here is not usually a necessity like it is in the states. Japanese drivers are very good in the city but get them on a freeway and their brains seem to suddenly switch off. If I go to the countryside on the weekend say to go skiing or play golf it might take 2 hours to get there but almost certainly 4, 5, 6, 10 hours to get back because of the inevitable pile ups. I think people here are not used to long distance driving so when they do do it they tend to fall asleep. I've been in a car where the driver fell asleep and crashed, luckily he wasn't doing highway speed and no one was hurt but the car was totaled.