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NTSB Chair: No Driving Tests Targeting Elderly

There’s no “magic age” at which individuals should be made to stop driving.

That’s the view of Deborah Hersman, chair of the National Transportation Safety Board, who joined On Point Wednesday for a discussion of elderly drivers. Last week, she convened an NTSB forum on safety, mobility and aging drivers.

“I think there are a lot of drivers on the roadways – younger drivers, as well as older drivers – that might benefit from a road test,” Hersman told host Tom Ashbrook. “But I don’t think it’s something that should only be applied to older drivers at a certain age.”

It’s a divisive issue in the public policy arena, as legislators worry about balancing safety concerns with the rights of older Americans. And it hits home on a personal level, too, as families face difficult conversations with elderly relatives about their ability to drive safely.

Hersman did say that officials need to go further in addressing the problem of older drivers with dementia, and it’s an issue that needs “comprehensive” solutions. “Trying to limit a driver with dementia to, say, operating between twelve and two [o’clock],” she said, “is like telling a drunk driver that they can operate between twelve and two.”

Listen to the interview below; excerpts from the transcript follow.

NTSB Chair Deborah Hersman

TOM ASHBROOK: Why this issue? Why now, chair Hersman?

DEBORAH HERSMAN:  Well, you know, I think the really important thing for all of us to recognize is that we’re all getting older. But the statistics are showing us that – for us in the United States – that by 2025, in just fifteen years from now, one in every five drivers on our roadways is going to be over the age of 65. We are not really good at assessing people’s driving abilities. And we really need to have better coordination between the medical community, the licensing community, and also individual drivers. I think the most important takeaway is: There is no magic age at which individuals should stop driving. It is very individualistic, and it needs to be assessed in consultation with an individual driver and their doctor, and their family, and also the licensing agencies.

TOM ASHBROOK: I’ve been reading a lot on this, and I’m not sure on the answer to this question: Is it a problem overall for a country to have a lot more older drivers on the roads? Is that a problem?

DEBORAH HERSMAN:  Well, you know, I think that they’re probably a lot of people that have preconceived notions about older drivers and their abilities, but I think the things that we learned in our forum last week was that older drivers are our most experienced drivers, and they’re very safe drivers. They tend to buckle up. They don’t driver after they’ve been drinking. They don’t speed. They also are very good at self-selecting areas where they might be uncomfortable driving. And we see that older drivers are safe, but they also tend to be more frail or more fragile and if they’re involved in an accident, they are much more likely to be seriously injured or die. So an accident that you or I might walk away from with some injuries, an older driver might be hospitalized with serious injuries, and may ultimately die from those injuries. And so we need to make crashes more survivable for older drivers.

TOM ASHBROOK: And what about the public menace headlines that we see and have seen for years, you know – the older driver plowing into the school yard or through the windows at Wal-Mart   ? And people say, “Oh, good lord! Who’s keeping tabs on this?” Is that just the rare and scary incident or is there a, you know, public safety problem?     

DEBORAH HERSMAN:  I think that older driver events do tend to probably capture more public attention, and we do see accidents that involve things like pedal misapplication that involve younger drivers too. But we see often catastrophic events that involve older drivers. One of the things that we do know is that as we age there are some age-related conditions, medical conditions, and also other things that slow down as we age – whether it’s our response time or other things. And so for older drivers we want to make sure that they have plenty of information, good feedback, they have plenty of advanced notice of things, good signage. But, you know, all of those things really help all drivers. But there is an area where I do think that we need to be focused and paying a little bit more attention – and that has to do with older drivers that have dementia. Because our panelists really talked about this as being a primary concern because these drivers have some severe challenges and they have some cognitive limitations and that needs to be addressed, and that needs to be addressed in a comprehensive way. Trying to limit a driver with dementia to say, operating between twelve and two [o’clock], is like telling a drunk driver that they can operate between twelve and two. We would never do that. And so if somebody is not in the condition to be safe behind the wheel, we need to address that as well.

TOM ASHBROOK: And chairman Hersman, finally, what about testing around the country? You know there are different laws in different states. But are we testing adequately so that old people themselves are given feedback on their capacity for driving at a certain age? I don’t know, whether it’s 75 or 85 or 90, any age? Do we have the proper testing regime in this country?

DEBORAH HERSMAN:  I think that’s an area that really could benefit from some best practices and some good data and information. We have a patchwork system across the country. In the U.S. some states require in-person renewals. Some states require vision tests after a certain age. And even yet, other states may require over-the-road tests, or driving tests, behind-the-wheel tests. And so we are very interested in trying to figure out what might be the best way to approach this in a fair and reasonable way and that’s supported by the data. And we are looking at some of those states that have done some innovative things. We’re looking at states like Iowa, who actually have done more advanced road testing and putting on some restrictions as drivers age. And part of this is to allow drivers to continue potentially driving longer – just limit the areas, and limit their risk exposure.

TOM ASHBROOK: Let me get you on the record: Do you think as chairman of the NTSB, should we have road tests for drivers of a certain age regularly, or not?

DEBORAH HERSMAN: I don’t think that we have a good sense of whether or not that’s appropriate. I think there are a lot of drivers on the roadways – younger drivers, as well as older drivers – that might benefit from a road test. But I don’t think it’s something that should only be applied to older drivers at a certain age. And I don’t think everybody’s agreed upon what the right age for that is. But I think that we need to get better with our screening tools and also our assessment of individual ability. Once we get into a position where we actually have tools that work, then I think we need to consider some widespread application. But I think the jury is still out about whether or not those screening and assessment tools are accurate enough to widespread deploy across the country.  

-With help from staff assistant Jessica Willingham.

 
  • Jennifer Mayfield MD

    My grandfather, age 85, had a temporal lobe seizure at the breakfast table while I was visiting several years ago. He began to smack his lips, blink his eyes and shuffled the salt shakers on the table for about 6 minutes. He did not respond to questions. My grandmother told me he had been having these several times a week and that she was terrified to drive with him. I reported him anonymously to the California Department of licensing. My grandfather had one of his old cronies, a retired professor from my medical school, to write a letter stating that he was fine to drive. I felt stymied by the system that would take one physician’s observations over another and endanger everyone’s safety.

    My great uncle, a cousin of John Muir, was still driving at 101. The befuddled local licensing board decided they would give him a road test because they had never renewed the license of someone so old. He leaned over to the examiner and said “You look a little nervous, son. I suppose you haven’t driven with anyone my age. Please don’t get upset if I reach over and pat your knee – you are sitting where my sweetie usually sits.” The Santa Barbara newspaper took his photo in front of Hwy 101 sign after he passed his driving test.

    I have conversations every week with my patients and their families. Luckily, I have a local resource for testing response time and other cognitive issues crucial to save driving. Thanks for discussing this important topic.

  • Mike

    I understand the humiliation an older person would feel having to take a driving competency test. I have to respectfully say too bad.

    I’m sure the humiliation would pale in comparison to knowing that lack of driving acuity was responsible for the injury, or even death of a motorist or pedestrian.

    And if the test is passed… no harm, no foul.

  • http://AAASeniors.com Nancy White

    As a century old leader in traffic safety, AAA has been working with agencies like NTSB and others to help keep aging drivers safer on the roads.

    This issue will continue to face Americans as the first boomer turns 65 next year and most drivers will outlive their driving ability by 7-10 years.

    Visit AAASeniors.com for more information.

  • Carol Barron

    May I offer a further complication of elderly driving:
    My mother is a an 86 year-old widow, proud and determined, but quite unsteady on uneven pavement. Her falls came when she went unaccompanied to shop locally. Of course, she had driven solo–and that started the solo course into the hospital.
    Her doctor (whom she now hesitates to see) suggested the licence revocation and the family supported it. Now we’re all the enemy. Deborah Hersman’s cautious comments suggest that there is no solution, but certainly a required road test at 75 for all drivers across the country is a sane and fair compromise.
    Massachusetts listener from Newbury, Ma and a faithful listener for over 20 years.

  • Amy

    I am soooo glad you discussed this topic.
    My parents were among the 60-70 people who were injured in the Santa Monica (CA) Farmers’ Market accident in which an elderly man drove thru the market shortly before closing on 16 July 2003. This man had a list of prior accidents and his family or the insurance agancy should have said “no more driving!”. 10-11 people died at the scene or shortly there after. My father died c. 2years later as a result of injuries incurred in the accident. My mother lay injured next to the woman who was screaming “help my baby”; she lost BOTH her daughter & her mother. What people still do not get is that driving a car is operating a deadly machine. We need to DRIVE and NOTHING else. I now live in Ventura, CA where, just like in the Boston area, people drive and …perform a multitude of other tasks. DANGEROUS & potentially DEADLY; age has little to do with the stupidity!

  • Russell Holt

    What many people alluded to in the interview but did not seem to put “on point” is the immense amount of data and studies that already must be available to everyone who is in a decision making position on whether or not to test. Stats will ascertain the number of at fault accidents by peoples’ ages by month by month of our ages. What are the stats on degeneration of eyesight, and just as importantly, physical and mental reaction time? If enough studies have not been done to give a good idea of when re-testing of the elderly should be done (and i find that difficult to believe), then have them done. Insurance companies have a great wealth of information – have we gleaned anything from them? They (insurance companies) deem it important enough to make sure we pay an increased premium to young drivers (and rightly so) because of the data they’ve collected. If anyone is over 60 and doesn’t feel that their reaction times in cognitive thinking in stressful situations AND physical reaction times are not beginning to take a hit on most people their age and older, then i feel they are deluding themselves. I’m in pretty good shape both mentally & physically @ 61, but i know i’m not the 35 year old i used to be. It sounds like the NTSB is being either quite political (being lobbied by the aging sectors), or trying to be non-offensive to the elderly. The facts SHOULD show that there should be a time start being tested on an increasing agenda in order to keep others safe on the road. I all for it, even if they start the testing at age 61 (my age) and every other year after that.

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