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A recent study from Brigham and Women's Hospital highlights the need for improved screening of older drivers in the United States. With nearly 50 million drivers over the age of 65, about 17 percent experience mild cognitive impairment, increasing their risk of accidents. In 2020, there were approximately 7,500 deaths and 150,000 injuries among senior drivers.
The study, published in JAMA Neurology, suggests that current healthcare systems lack effective methods to assess the driving capabilities of older adults. Researchers argue that Medicare should cover comprehensive driving evaluations, which can cost between $500 and $800, to ensure road safety. These evaluations often include on-road tests conducted by occupational therapists or skilled professionals, providing a more accurate assessment than standard cognitive tests.
Dr. Kirk Daffner, the study's lead author, emphasizes the importance of these evaluations, stating, "Driving is a multifaceted activity that requires learned skills and the coordination of complex cognitive and physical functions." Without Medicare coverage, many seniors cannot afford these assessments, leaving potentially dangerous drivers on the road.
The study also points out that preventing accidents through proper assessments could reduce healthcare costs. In 2016, Medicare expenses for traumatic injuries were estimated at over $16 billion, with motor vehicle crashes being a significant contributor.
While some critics argue about the standardization of driving assessment programs, the study suggests that covering these evaluations could save lives and reduce costs. As the population of older drivers continues to grow, the need for effective screening becomes increasingly urgent.