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Mindy J. Fain, MD

Arch Intern Med. 2003;163:2131.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A PROPER rebuttal to Dr Fitten's submission is difficult because we seem to agree. However, where we diverge is that his goal is to develop policy that ultimately restricts licensing in the elderly. His core argument rests on a biased interpretation of driving statistics and an undeserved enthusiasm for current restricted licensing programs.

In an attempt to convince the reader that older drivers are unsafe, he cites crash and fatality data using per-mile-driven statistics. This is a common ploy used by those who promote relicensing restrictions, attempting to underplay the excellent safety record of individual older drivers.

Second, associated comorbidities, rather than the severity of the crash, are responsible for the increased fatality rate of the older driver. Thus, driving constitutes a personal health risk any capable adult should be able to make for himself or herself without society imposing restrictions solely on the older driver . . . [Full Text of this Article]

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