The recent American Academy of Neurology (AAN) position statement on physician reporting of. medical conditions that may affect driving competence affords the opportunity for neurologists to participate in organized community advocacy for their patients. In particular, the statement "The AAN supports state and federal efforts to plan for additional transportation resources to meet the needs of affected patients who are no longer able or allowed to transport themselves" is, by itself, weak and leads to no definite solutions for the millions of patients who are already no longer able to drive. Beyond epilepsy and episodic disorders of impaired consciousness, it has been estimated that the burden of caregiving for patients with dementia, in the absence of driving cessation, already exceeds the strain felt by caregivers of nonde-mented dependent patients. Increasingly, other neurologic diseases such as multiple sclerosis reveal deficits in driving ability that are largely un-addressed. Importantly, established public transportation systems seem not to fulfill the need left by driving cessation.
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