British drivers over 70 to face eye tests every three years
120 points
1 hour ago
| 12 comments
| bbc.com
| HN
calpaterson
1 hour ago
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Unfortunately what is needed are tests of driving ability. Most over-70s are significantly worse than the average driver and some are so dangerous they shouldn't be on the road at all.

Politically very difficult to take people's licences away though, especially when it's permanent, not their fault and it makes their life a lot worse.

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afavour
2 minutes ago
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It is unfortunate that things like this become politically impossible because older people are one of the most reliable voting groups out there.

I will always be bitter that older voters chose Brexit by a large margin, in opposition to the younger voters who will actually be around to feel its long term effects. Not taking that into account in voting feels wrong but there’s no politically palatable way of addressing it.

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Der_Einzige
1 minute ago
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Make voting be based on military eligibility. This is something Starship Troopers was sort of correct about.

You can't be drafted in war time emergencies? You can't vote (also yes I do want women to be draftable)

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oncallthrow
2 minutes ago
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Fairly regularly an 80-something will end up driving down the wrong carriageway of a motorway or dual carriageway. Fairly regularly this results in deaths.
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tedggh
1 hour ago
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The worst age group behind the wheel is by far 16-25. The middle age group is the safest and the gap is actually moderate compared to 70-75.
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calpaterson
34 minutes ago
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You're taking about statistical averages but I'm talking about a significant minority of over-70s who are wildly dangerous. Most of them only stop driving when they cause an accident. Sometimes its a serious one.

There are already some measures for young people, like the 6 point thing. Maybe there could be more. Doesn't change the facts about dangerous OAP drivers

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7thpower
13 minutes ago
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> Most over-70s are significantly worse than the average driver and some are so dangerous they shouldn't be on the road at all.

> You're taking about statistical averages but I'm talking about a significant minority of over-70s who are wildly dangerous.

You sure about that?

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bumby
21 minutes ago
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“I'm talking about a significant minority of [under 25 year olds] who are wildly dangerous.” (Edit mine)

Don’t you think that statement is also true?

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LEDThereBeLight
14 minutes ago
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16 year olds get better at driving.
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CapmCrackaWaka
33 minutes ago
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Yes - I’ve seen the pricing algorithms at several large insurers. Massive surcharges for young people 16-25, rates level out 30-55, and then slowly start to go back up, but it’s a slow increase compared to the young ones.
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FigurativeVoid
1 hour ago
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Especially in the US. In countries with more robust public transport, you can get away with not having a car. That's basically impossible in the US.
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pjmlp
1 hour ago
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As European, that has lived across multiple countries, that only applies to the lucky ones able to afford living close to the city center.

Also healthy enough to be able to walk stairs, as very few places care about people with disabilities, or carrying stuff that is a pain to transport across stairways.

People visit the touristic centre of the main cities and assume we all enjoy nice public transport systems.

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snovymgodym
37 minutes ago
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There's definitely a lot of truth to that, Europe is not a monolith in terms of transport infrastructure.

On the other hand, it's hard to overstate just how radically car-centric the majority of the infrastructure in the USA is.

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pjmlp
31 minutes ago
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The point is that Europe is not much better when one goes outside the regional capitals of each state, or district, depending on how each country is organised.

Most towns and villages are also not great examples of infrastructure, especially in the southern countries.

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tcbawo
30 minutes ago
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I love the accessibility and diversity of large city living in the US, but it is definitely the exception to the rule. The US is hoping for technological breakthroughs in self driving electric cars to bail us out from the sprawl we've created.
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nephihaha
50 minutes ago
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UK transport is much worse than the continent. London is fairly well served but elsewhere not so much, especially not the countryside. The trains are very expensive (even with an old person's railcard) and the buses are often irregular or non-existent in large areas of the countryside.
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tialaramex
8 minutes ago
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Well there's a big gap between something like London, a very dense city, and actual countryside. There's also a big variation in will. Where I grew up (Metroland, just beyond the end of the Metropolitan "underground" Line) the services are (other than the afore-mentioned London underground) abysmal because providing services costs money & people there want lower taxes. But where my mother lives today, near Bingley, there are enough buses that I get confused as to which one goes closest to her house when I visit.

The difference in London is also in large part because London was allowed to retain a unified transport system when Tories dismantled other systems because ideologically their position is the Invisible Hand of the Free Market will fix everything.

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pjmlp
40 minutes ago
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I am aware, having spent some time in Bristol and Cardiff, in various occasions.

That situation is very comparable to many places in the continent, some of them even worse.

Also here that are many small towns and villages that an hourly bus is already something, and naturally there aren't stops scattered all over the place, or worse, offer no protection from weather.

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cebert
23 minutes ago
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I know it doesn’t work everywhere, but I’m happy there are services like Uber and Lyft when I get older. I could see myself using those services a lot when I am no longer able to drive.
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FigurativeVoid
13 minutes ago
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I wonder if communities will move away from things like buses to public autonomous cars.

If you could run a fleet of $30k Waymo’s, that would be nice

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jnovek
1 hour ago
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I’m an American and my vision, fully corrected, is right at the legal borderline to get a license without restrictions. I’ve never “failed” a vision exam at the DMV; one time the clerk even said, “good enough”. (Don’t worry, I never drive, I only keep my license up to date for serious emergencies).
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orochimaaru
32 seconds ago
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You also need a drivers license that doubles up as a real id if you want to travel by air. So the issuance of a DL isn't just for driving.

I'm not sure if they give regular state id's as real id.

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AustinDev
1 hour ago
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A serious emergency isn't going to be helped by someone with very little driving experience. I don't follow your reasoning. If it was a serious emergency who would care if you had a license?
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zdragnar
31 minutes ago
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A police officer would. The penalty for an accident might be negligent driving.

The penalty for an accident without a license is, at minimum, driving without a license. You're also not likely to be covered by insurance without one either, even if you're not at fault.

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margalabargala
31 minutes ago
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People think about things differently. It may be that for OP, "but I don't have a license" would cause a second thought and waste time in an emergency. They may be self aware enough to head that off.
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SoftTalker
48 minutes ago
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Not impossible, with uber/lyft being available. And yes public transit is not good everywhere in the US, but in high density cities it generally is.
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nephihaha
53 minutes ago
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UK public transport is not good, especially when you get out of the major cities. Better than the US, but worse than Continental Europe.

The buses turn up when they feel like it, and there are problems with antisocial behaviour on a lot of them, including assault.

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kakacik
37 minutes ago
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Nope, even best countries in the world with great public transport like Switzerland have tons of remote places basically unreachable by public transport, or bus that goes 2x a day on some days of the week.

Guess what, mostly old folks live there and all this applies there. Its just not financially feasible to cover everybody. Proper full self driving should fix this, nothing less I am afraid.

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thfuran
15 seconds ago
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That mostly old people live there doesn’t mean that most old people do.
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boelboel
25 minutes ago
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Proper self driving is furthest away from being able to handle these cities as well, don't see these driving in Sicily before 2040.

Many of these older people don't even know how to use a smartphone so even a 'perfect solution' will take some effort.I still have to help my grandpa with landline calls because he never had one himself (I live in one of the most developed countries in the world).

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CPLX
35 minutes ago
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> basically unreachable by public transport, or bus that goes 2x a day on some days of the week.

This sentence is hilarious from an American perspective. There are central business districts of major US cities that are less connected to public transit than the most remote rock at the end of a steep canyon in Switzerland.

A bus that ran 1x a day on any day of any week would be a drastic improvement for nearly all of the US.

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kakacik
23 minutes ago
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Its not mutually exclusive - most of the world thats not in stone age has better public transport than US, I guess everybody knows that and its not by accident but for good (well bad but logical) reasons.

That some PT is still not covering somebody's full needs for long term living is understandable too I presume, especially if its few days gaps in service.

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graemep
1 hour ago
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> Most over-70s are significantly worse than the average driver and some are so dangerous they shouldn't be on the road at all.

Evidence? I thought over-70s were on average safer than young drivers

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GJR
1 hour ago
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UK statistics here: https://www.gov.uk/government/statistics/reported-road-casua... The issue is that the rate of accidents rapidly increases after 70 and the easiest detectable indicator is deteriorating eyesight.
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joeig
50 minutes ago
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I think the report is about the wrong group. Here are the statistics about older drivers: https://www.gov.uk/government/statistics/reported-road-casua...
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notahacker
47 minutes ago
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Yep. In practice, you've probably got a group of over 70s who are much safer drivers than the average 17-24 year old and some with declining eyesight who are worse. The test proposes to distinguish between the two
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jl6
58 minutes ago
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https://www.racfoundation.org/media-centre/study-sheds-light...

I imagine there’s something of a bathtub curve where young (under 25) drivers have higher accident rates due to some combination of inexperience and immaturity, while older drivers (over 70) have higher accident rates due to disability creeping up on them without them noticing.

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steveBK123
46 minutes ago
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Agreed over 70s are safer than younger drivers, but consider young drivers in most jurisdictions face restrictions while elderly drivers do not.

Further I’d say anecdotally that past a certain point, certainly by 80s, elderly drivers are not accident free. It’s that they have an increasing number of small accidents until someone takes away the keys. If they do not have someone in their life to do that it’s probably reasonable that the government make that determination.

At some point the reduced vision and reflex speed makes them too hazardous on the road to others, even if they are driving slowly and carefully. Parking lot accidents, hitting kids, slamming the gas instead of the brakes, etc.

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recursivecaveat
57 minutes ago
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Seems that is true, at least for the ones currently on the road https://injuryfacts.nsc.org/motor-vehicle/overview/age-of-dr...
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guerrilla
39 minutes ago
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> Politically very difficult to take people's licences away though, especially when it's permanent, not their fault and it makes their life a lot worse.

It shouldn't be permanent. If they can improve, then why not? Maybe illness causes their poor driving and they find a treatment for that illness.

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calpaterson
36 minutes ago
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> If they can improve, then why not?

I'm talking about removing licences due to cognitive decline. It's not a temporary condition

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guerrilla
28 minutes ago
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> It's not a temporary condition

You have no way of knowing that. There's no reason it should be written into law. If they can pass the test, then they can drive. Testing already takes care of what you want. If it truly isn't a temporary condition, then you have nothing to worry about.

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cjbgkagh
30 minutes ago
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Theoretically it can be, though usually not, so the question is what should be the law to cover the general case. It wouldn’t be such a problem if it were easy for them to get around without driving. Either self driving cars, subsidized Ubers, public transit, walkable cities, home delivery, etc.

My opinion is that in the general case people over 70 shouldn’t be driving and I say this as someone who has 4 spritly grandparents in their 90s. I really don’t like how dangerous roads are, a fact that we accept because we did not really have good alternatives, now that we do we should implement them.

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Wistar
13 minutes ago
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Paul Newman won his last race at Lime Rock in Sept. 2007 driving a 900-horsepower Corvette when he was 82.
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gus_massa
31 minutes ago
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It can be for "3 months" (with a low expectation that after 3 months they improve enough to get the licence again).
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the_real_cher
31 minutes ago
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It's a vague definition though.

All cognitive decline is not equal.

If they're able to drive they should be allowed to

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hyperman1
16 minutes ago
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In my experience, the 70+ are bad at driving in ways that do lighter accidents. Typically: Drive 50 km/h everywhere, even if the road is 30 or 70. General weird behaviour. Swerving slowly left right left forever.

They do cause a lot of cursing, but they are signalling hard enough they're bad at driving and other drivers leave huge margins, overly grant right of way, don't cross the road, etc...

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boelboel
1 hour ago
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I wouldn't say over 70 year olds, average 70 year old is fine. Problem gets a lot worse at 75 or 80. Most these people don't drive nearly as much as younger people anyway.

My grandma is 90 and drives 5 miles to the grocery store, a slow road. I don't think she'd pass a driving test but she drives during the day when barely anyone is on the road, chances of serious injury are nil.

Is it worth it to spend large amounts of money on testing these people, taking their license away if they fail? Getting rid of their car will force them to replace it with someone else driving or cycling which could be a problem in many places. Worst case scenario they'll need to go in a retirement home.

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mikkupikku
58 minutes ago
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For my parents it was 65-70 when I noticed and started to become very concerned for their ability to drive safety. At 75 now, my dad at least only drives during broad daylight but even so he can't maintain a safe speed and does barely half the speed limit, then complains about tailgaters not liking his "retired lifestyle" (which is his personal excuse for driving slowly, when in reality he lacks the skill to keep up with traffic, which is very dangerous in my view...)
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boelboel
37 minutes ago
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It's a danger for sure, I think for many the best they can do is limiting their driving as much as possible to 'safe' roads. With elderly driving slowly it's more a problem of ruining their car when they crash than endangering lives. Wish there was a better solution for all of them.
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nandomrumber
59 minutes ago
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Maybe less of an issue if they’re given taxi vouchers to the value of about the typical amount of driving they would have done?
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steveBK123
40 minutes ago
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Across the western world, elderly benefits increasingly outstrip the growth young workers paying taxes for their benefits are able to eke out. I do not think they need free taxis as well.

For UK in particular look up triple lock pension.

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boelboel
44 minutes ago
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There's not many taxis in most places, I come from a town of 400 people it'd be a very uneconomical solution.

I'm not saying it's great for them to drive, I just doubt there's a way to fix it in these sort of places. My grandma cycles to the small store for most of her groceries everyday, it's only the big store she drives to bi-weekly. Honestly the cycling is probably more dangerous, and there's some elderly in my town who're pushing 100 cycling daily.

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treve
29 minutes ago
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Public services don't need to be 'economical'
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flkiwi
1 hour ago
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Well the obvious solution is take away the vote for over-65s!

/s … maybe

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mikkupikku
57 minutes ago
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They do have less stake in the future and want short term policy payoffs...
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HPsquared
1 hour ago
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It's not like voting does anything, anyway. Once elected, they do what they want.
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steveBK123
43 minutes ago
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I’ve come around to the belief that the biggest benefit of democracy is not choosing the best and wisest leaders.

The benefit is the regular ability to remove bad leaders. It doesn’t always happen as fast as we want but it happens eventually.

It’s not perfect, but imagine your least favorite president instead presiding for decades until death or coup.

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zdc1
46 minutes ago
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The purpose of a system is what it does. There's lots of literature on what the best, or at least better, voting systems (hello preference voting) and decision making approaches are. Getting them implemented is another story.
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jstanley
43 minutes ago
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TimorousBestie
37 minutes ago
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Scott aggressively missing the point of Beer’s maxim is not a counter-argument. Making a specific point would be more persuasive than a mere link.
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jstanley
30 minutes ago
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I don't have a view on the main thrust of the comment, but "the purpose of a system is what it does" is very obviously wrong (as detailed in the linked blog post) and that is what I was responding to.
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kakacik
42 minutes ago
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In Switzerland we do it all. After 75 there is requirement for periodic health check by doctor which consists of various mental checks and eyesight. I would put it at 70, everybody degrades with age at different pace, some lose it even before 50 (ie sclerosis or parkinson) but cca 70 is an age I can see clear mental decline in every person I ever interacted closely.

Wife is a GP and she regularly faces this at her work. I begged her numerous times to take away those licenses without mercy if the person is unfit, no amount of pleading, begging, crying of threats should change that. And they do it all, oh so much - to the point she is giving up this revenue stream, too much emotional burden (from somebody who sometimes has to tell patients they have ie cancer).

Why so harsh - we live in more rural place with tons of old folks. They are properly dangerous behind the wheel - they can't handle any sudden situation, heavy traffic is a challenge at best, they need to drive at absolute minimum speed at bright daylight to handle situations.

Its tough, they live their whole lives in the middle of nowhere, too stubborn to sell and move someplace more reasonable and without a car they can't easily take care of themselves in their remote places (but its 2026 we have ubers, taxis and home deliveries, and once further down the road good social housings for elderly). Often, they know old but still working doctors who turn the blind eye because they are old buddies and then its sometimes sad news.

When they handle 1.5 tonne of steel that accelerates fast and easily kills others, very easily it stops being primarily about them but about rest of society. When you see them barely managing driving around local primary school, its either them or us/our kids

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nephihaha
1 hour ago
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Of course it makes their lives worse. In a lot of parts of the UK, the public transport is barely fit for purpose, irregular, non-existent (in much of the countryside) or dangerous (in the city). I speak from personal experience. I've been harassed and assaulted on British buses and trains on more than one occasion. Once had to phone the police to get rid of someone who started to follow me home, after he had hit me getting out of a train in a small branch station. It's like the Wild West. In one village I visited, there was only one bus there a day, and a bus back on a different day. How are old people supposed to function with that?

As usual this is set up as a tax farming scheme for the government to make money. They will make tonnes of money off forcing people to reapply for an overpriced licence every three years.

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andyjohnson0
55 minutes ago
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> As usual this is set up as a tax farming scheme for the government to make money. They will make tonnes of money off forcing people to reapply for an overpriced licence every three years.

This is zero-evidence bullshit. On and after the age of 70, all UK drivers have to renew their licence every three years anyway - it's been like that since 1976. This new change just adds a requirement to get an eye test (which the government doesn't "make money" from) as well, rather than self-certifying.

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tonyedgecombe
48 minutes ago
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In fact the government pays for eye tests once you are over sixty.
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nephihaha
42 minutes ago
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Starmer was talking about getting over 55s to get a new licence every five years a few months ago. He hasn't managed to push that through. Of course, you would have to pay more money to them every time you get one. British TV licences are overpriced as are British passports, but you have to have one or the other as ID. I have one just now, but no car. The public transport is awful.

Most of the price of petrol in the UK is government duty and VAT, then there is the extortionate road tax etc. The British exchequer rakes it in off motorists but fails to help provide safe and reliable alternatives.

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jstummbillig
1 hour ago
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This is good, no? The intent is obvious, it's likely improving the current situation, and I don't see any reason not to applaud it as an low-barrier incremental improvement.
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noodlesUK
1 hour ago
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Older people in the UK already have free bus passes and various other substantial concessions regarding public transport. Cars are dangerous, and if you can't see clearly, you're obviously not fit to drive. It's true that there will be negative impacts on people who will fail the eye tests, and we should be compassionate, but ultimately those people aren't safe behind the wheel, and put other peoples lives at risk, not just their own.

The practical details of implementing this are important - is the eye test done at an ordinary optician/optometrist's shop? How are the results going to be submitted to DVLA, etc.? What protections will be in place to prevent people from shopping around for a dodgy optician (as people often do with cars and MOTs)?

I think this is a reasonable and practical step in the right direction. I accept that given the shortage of driving examiners it would be impossible to require re-testing of existing drivers in the foreseeable future, but as the article says, people already get eye tests frequently and often for free, so this is something that can be done without too much additional infrastructure.

A personal anecdote: my grandfather is in his 90s and is not at all fit to drive due to cataracts and various other issues, but he still does "short journeys" because it's convenient and he feels that it's necessary. The UK has plenty of public transport options and places where people can live with amenities close by (though this is not at all universal). Most British towns and cities are very different from their US counterparts in this respect. My grandfather moved house relatively recently --in full knowledge that the house he chose would benefit from car ownership, and in full knowledge about his age. The only thing that will stop him and others like him from putting people in danger is taking away his licence. He has been told by doctors, opticians and family members that he's not safe to drive, but in the absence of any enforcement he persists. I hope that this policy comes in before he or someone else gets hurt.

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andyjohnson0
46 minutes ago
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You can anonymously report your concerns to the DVLA at [1]. Select "driver's medical". I had to do this with an elderly family member who refused to stop driving despite being manifestly physically and cognitively incapable. Its a difficult call but you may be saving someone's life.

[1] https://contact.dvla.gov.uk/driver/capture-transaction-type

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noodlesUK
41 minutes ago
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Thank you for this. I was mistakenly under the impression that it was not possible to raise these concerns with DVLA anonymously.

Do you know what the process that follows this looks like? Are they just asked to self-certify again? Are they told that someone has reported them (even if they aren't told who it was)?

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andyjohnson0
16 minutes ago
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From memory, and from the one time I did it about three years ago: they get a letter saying that the DVLA has reason to believe that they are unfit to drive and that they must pass a medical examination in order to keep their licence. I don't believe the letter says that they've been reported.

And to be clear: when I said "anonymously" I meant from the pov of the person being reported. The DVLA requires some basic details of the person making the report, but they're definitely not disclosed to the subject.

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graemep
1 hour ago
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> Older people in the UK already have free bus passes and various other substantial concessions regarding public transport.

Which is fine if you live somewhere where there is public transport.

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tonyedgecombe
47 minutes ago
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You have to be pretty remote to have no public transport in the UK.
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gib444
28 minutes ago
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And not very remote at all for it to be practically non existent and unreliable

Every passing year non-city/big town buses get cut and cut and cut because councils are bankrupt

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bell-cot
36 minutes ago
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True, though maybe that's covered by OP's "The practical details of implementing this are important...".

Then there's the fine detail of affording to live somewhere with public transport. :(

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deanc
29 minutes ago
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> Older people in the UK already have free bus passes and various other substantial concessions regarding public transport. Cars are dangerous, and if you can't see clearly, you're obviously not fit to drive. It's true that there will be negative impacts on people who will fail the eye tests, and we should be compassionate, but ultimately those people aren't safe behind the wheel, and put other peoples lives at risk, not just their own.

This is an absurd take. I grew up in a town of ~60,000 people in the UK. The public transport, was, and _still_ is terrible. To get to the nearby shopping center which was the only place with bowling and a movie theatre, and any shops that weren't charity shops involved 2 trains and a bus taking about an hour and a half. A drive would be 20 minutes and a negotiation with my parents to give me a lift.

Nowadays my mother is in her 70s and lives in this same town, and drives into the countryside every day to take her mental health walks. Without this, she probably wouldn't be here today. Taking her car away from her would be giving her a death sentence to rot at home on a council estate that she hates living in.

> The UK has plenty of public transport options and places where people can live with amenities close by

I mean this simply isn't true. You must live in London or a bubble.

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newdee
20 seconds ago
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But if she’s unfit to drive, should she still be allowed to drive?
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globular-toast
38 minutes ago
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> Older people in the UK already have free bus passes and various other substantial concessions regarding public transport.

My parents live somewhere that has two buses a week. They could get to the nearest city, then come back two hours later. If they miss the return bus they'd have to wait until next week.

A lot of these things sound great until you actually look at the reality.

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zerealshadowban
1 hour ago
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My mother completely stopped driving in her early 70s... thank god for the Swiss medical driving fitness test! (now at 75 instead of 70?) she was perfectly fine with it, online food order+delivery had become available, and her immediate neighbors were loving people helping her whenever I+siblings were not easily available.
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reenorap
10 minutes ago
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It sould be every year. Over 70 shouldn’t drive in my opinion. I’m in my 50s and still believe this.
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GJR
59 minutes ago
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To inform the thread, UK accident statistics from 2024 here: https://www.gov.uk/government/statistics/reported-road-casua...
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globular-toast
28 minutes ago
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The shift from male to female is fascinating. In younger drivers accidents are disproportionately male, I guess due to high testosterone buffoonery but in older drivers it's disproportionately female. My personal observation is that older male drivers are much more slow and less confident whereas females tend to be overly confident and driving way too fast, especially the ones in huge cars.

According to this women become more dangerous than male 17-24 year old drivers only when they reach 80+ whereas for men they only become more dangerous than female 17-24 year old drivers at 86+.

I actually think more should be done about younger drivers than older.

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amluto
34 minutes ago
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> Drivers in the UK must be able to read a number plate from 20 metres away, according to the Driver and Vehicle Licensing Agency (DVLA).

I would like to see better tests. I have a pet theory that visual perception deficiencies along the lines of simultanagnosia are considerably more common among older people than is generally recognized, and people with these conditions may be able to easily read letters and numbers at a distance but be unable to drive safely due to inability to reliably detect obstacles.

Visual screening is fairly easy and every bit as quick, but it needs different tests. Something along the lines of an Ishihara plate but with colors that are perceptible even to color blind people might work. Or a visually busy image with instructions to identify one or two particular objects in the scene.

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agumonkey
12 minutes ago
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I wonder if there are non optical visual tests, like cognitive ability to perceive multiple details at once.
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lacunary
1 hour ago
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driving in downtown Austin this morning, the waymo swarm is real. the US may not have robust public transit but why can't we subsidize ride shares for seniors who lose their ability to drive safely?
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fibonachos
50 minutes ago
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I’m still a couple decades off from “senior”, but I have already reached a point where most day to day driving feels like a chore. If/When Waymo finally arrives in my smallish Bay Area city I can see myself using it a quite a bit. Hopefully self-driving cars are ubiquitous by the time I reach “shouldn’t be driving” age.
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Neil44
49 minutes ago
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I think everyone should do a re-test every 10 years then maybe 5 years after 70.
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IshKebab
37 minutes ago
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There aren't enough driving testers for people to take a test once in their lives, let alone 8 times.

It would also be totally pointless between 20 and 60 at the very least. The vast majority of people don't have any cognitive decline before then.

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globular-toast
27 minutes ago
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There could be, it's just that we don't value testing highly enough and we're happy to see people killed and seriously injured by these things.
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bookofjoe
1 hour ago
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pacifi30
30 minutes ago
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Waymo is the answer to all our problems
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ptribble
1 hour ago
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Why pick on the over-70s though? Most drivers in the UK either can't see or don't bother looking, so we should be demanding higher standards of all drivers.
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II2II
50 minutes ago
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They won't test everyone on a regular basis due to the cost and because it would be politically unpopular. Heck, I saw someone in their 30's go ballistic about losing their license after having two seizures while driving (both of which resulted in collisions).

Enforcement is another issue. I don't even bother reporting being hit by cars anymore because the police refuse to do anything about it. That is after an incident and with a plate number. Enforcement of people driving without a license would be next to impossible unless there is an incident.

As for "don't bother looking", well, you cannot really test for that since it is usually the result of some form of distracted driving or carelessness. Both of which are unlikely to show up when someone knows they are being assessed.

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