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Maintaining a class 3 medical isn't a problem after age 40.  The FAA examiner that I did both my private and instrument checkrides with was in his 80's at the time (class 2 medical required).  Hell, there are a lot of pilots flying biz jets after being retired from the airlines due to the age-60 rule.


The type club for my airplane has a member who is also an AME.  His basic claim is that if you can walk up the hill to his office, he can get you a medical.


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