Why would the cost of a medical assessment mandated by government in a country with Socialized Medicine cost the worker anything?
The way the laws are written, in order to prove your compliance with health guidelines the individual is responsible for the cost of the assessments and examinations.
EG: if you want to keep your driver’s license after age 80, you have to pay for the mental and physical examination. Just like a pilot or trucker has to pay for their annual checkup.