It is the DMV’s responsibility. My state DMV does their own vision tests, and at time by criteria unknown to me, driving tests. I do exercise common sense and take action to prevent the obviously impaired from driving–but that doesn’t mean all the rest are safe.

A doctor can always tell a patient that he thinks they should not drive and give the reasons why. He can place documentation of that discussion in the patient’s medical record. But unless the state requests a special evaluation for a driver whose qualifications are in question, there isn’t much else doctors can do. I can’t see why this should be changed.

if you have a medical condition that can interfere with the safe operation of an automobile and you choose to drive then it should be your responsibilty, the same as DUI. we look to shift responsibility and blame from ourselves to others, such as the doctor or the bartender. the only relevent question concerning driving priveliges a physician should be in the position of making is of competency, is the pt competent enough to decide for him/herself what risk level they should be driving at. then if an accident happens, a jury should decide if the person knowingly drove while at a deficit. i support trial by jury. it is a good basis of litigation/arbitration. the only thing about it that i would change is to make the deliberations taped and and available for viewing by the general public.

mike

Perhaps a better approach is if we can report this to some intermediary services company who then can take it via the appropriate measures.