Read about what the experts say about Older Adults and Safe Mobility in the TSC newsletter
 
 

Interview with Sandra Rosenbloom, PhD
April 2, 2001


David Ragland: How did you become interested in transportation issues?

Sandra Rosenbloom: I guess I always was.  I have some memory of being in the 6th grade and doing a historical tableau about hansom cabs in London . I got a plastic horse and made some kind of carriage for the horse to pull and put it all together.   People joked that it’s because my mother and father gave my brother the electric trains and wouldn't give them to me [chuckles].   I got a Masters degree in public administration at UCLA and I knew I wanted to work in a transit agency and I never intended to go on for a PhD.  After my Master's, I went to work for a firm in Santa Barbara that was doing urban transportation work.  They had engineers and scientists, so they thought they'd get some cheap, young graduate to do urban policy work.   The very first thing I got asked to do was a study of urban taxicabs.  Charlie Haar, a well known Harvard law professor, and Assistant Secretary of whatever agency preceded HUD, was sitting with my boss in a bar somewhere in Washington, DC trying to figure out why you could always get a cab in Washington, DC but you couldn't get a cab anywhere else.  When my boss came home he called me into his office and said, "Find out why"

So I did what apparently was the first study of taxicabs in America when I was 21 or 22 years old.   What I found out is that, with few exceptions, there are no barriers to entry of taxicabs in Washington--you have to have a drivers license and a vehicle that isn't totally falling apart and you then you can be a taxi driver. In contrast, most cities in America seriously restricted the number of taxis allowed on the street. And the lack of any real barriers on entry into the taxi market in Washington made a huge difference in the number of taxis on the street.   Nothing else that we looked at could explain it.   Well, the report got picked up by economists who loved it because it was empirical proof of classic economic theory.   If you draw a supply and demand curve, and you control the supply below the demand, you're going to have fewer cabs and higher cost.  So that started my professional and ultimately my academic career.

Then, while I was, working away happily in Santa Barbara , somebody from the predecessor to the UC Institute for Transportation Studies called me up and said they had ten traffic safety fellowships available from the Office of Traffic Safety at HEW (this was the agency which later became NHTSA).  They couldn’t get anybody to take the fellowships because nobody wanted to do traffic safety but one of my professors, Jack Bollens, thought that perhaps I might be interested in going on for a PhD.   I said, well gee, yeah, I guess I would.  They told me I could do it at either the Berkeley or UCLA campus but they didn't guarantee me admission to either school.   Since it's easier to get a PhD at the place you got your Master's I chose UCLA and moved back to Los Angeles.   I kept working for the company in Santa Barbara half time.

With the HEW funding UCLA brought ten of us together from a number of different disciplines.  There were some planners and one or two engineers, somebody from the business school, somebody from the law school and I was in political science.   We went through this 2 year program together and had a seminar every week on some traffic safety issue.   Some of the seminars were just god awful.  They brought in some statisticians from an insurance company [laughs] with actuarial tables.  I never heard anything so bad in my life.  And we saw all those California Highway Patrol traffic safety films, including the famous one with a decapitated head rolling around on the ground. I think they used the films in traffic safety school for people who got too many tickets and for other training purposes.   But they were pretty scary; the impact builds because each film is worse than the last one.  And of course, now we've discovered that isn’t the way you want to do traffic safety messages because if they are horrific, people turn off mentally.   But I saw a lot of those.  It was an interesting experience. 

 

So, was the program aimed at traffic safety at that time?  

It took people from various disciplines and sort of bribed them to do traffic safety related stuff.   They didn't make me do my dissertation on anything having to do with traffic safety and in fact I don't think most of the people in the program did.   It was only supposed to be a 2-year program, but the money went on for at least 3 or 4 years. 

 

Your dissertation was on the impact of UMTA policy, specifically on the structure and function of urban transit systems.

Actually, I looked at how UMTA (now FTA) funding policies in the late 60’s affected the decision of individual cities to pursue rail systems.  I looked at that in Los Angeles and San Diego and with 20 years’ hindsight, I'm not sure I was right, but I felt that the Feds kept both Los Angeles and San Diego looking at rail when they might have encouraged them to do something else.  They just kept paying them to do feasibility studies but they wouldn't pay them to construct anything.  And I guess the Feds thought that funding studies took the political pressure off, and that eventually the cities would get tired of endlessly studying things and lose interest in rail.  But rail systems have fanatic, almost religious, support and that's not something that goes away.

I'm not a fan of rail systems, but I'm also not a fan of spending billions of dollars doing all the studies they did.  If they had taken that money and spent it on making public transit better in Los Angeles and San Diego , they would have been different cities.  Of course, some of us academics wouldn't have done so well since a lot of those studies were done by academics or our students.  But even so, I understand why the public is annoyed with  this "let's study the issue" approach. 

 

I found a very interesting quote in the summary of your dissertation.   You say, "I certainly believe that the Constitution of the United States gives its citizens equal rights to equal services.   And among those services is sharing mobility,"  At that point you were talking about rail transportation.

Oh, I was, but I'm not interested in rail anymore.  I think it is a bad idea.  But I really believe that for many rail advocates it's a religion and you can't argue with people about religion.   My dissertation was really about the dream of a rail system.  One of the ironic things that struck me over the course of doing research for the dissertation is that the Los Angeles Times totally changed their editorial policy somewhere right in the middle.   For roughly 25 years they opposed a rail system.  They bought all the arguments (which I think were sensible) that Los Angeles was too sprawled out for a new rail system to make a difference, that it was expensive and that there were other ways to meet the same needs.

And then, all of the sudden, the editorial writers got religion.  Up to that point, the downtown business interests hadn’t been very interested in rail; suddenly, in the late 60's, early 70's, they decided it would be a nice idea to revitalize downtown Los Angeles by running a rail system in.   Once the business community became supportive of a rail system, the Los Angeles Times changed its editorial policy almost overnight.  I don't think I recognized how important that was as a real turning point, not because the LA Times makes so much difference, but because it reflected a change in the opinion of the power structure in the city.  And the editorials feed the public who I guess always had fantasies about what rail in Los Angeles was going to mean.

   

Some people probably remembered what it was like in the 20's, and 30's, and 40's.  

I heard a lot of, "I lived in Brooklyn , and for a nickel I could go anywhere."  I still hear that from those folks.

 

You’ve also said, in one or two places, something about how a rail system may have long term impact.

I don’t think rail systems will work in sprawling cities but to be fair, they might in the long run —at least that’s one argument.  Somebody said it's really unfair to conclude that the failure of a system of a few miles to attract many riders tells you anything about what would happen if you had an 80 or 90 mile system. The argument is that there is a critical mass.  I mean, who would readjust their lives to take a train to go five miles?  It's crazy.  But if you could really get on the system and go anywhere in the city, maybe you'd be much more likely to choose your home differently or have only one car in your family instead of two or three.  While I don’t find it compelling, it is a possibility.

That statement in your dissertation is almost a manifesto for equality in transportation and a lot of your work subsequently is focused on different groups and the access they have to mobility.  

Right.  This is not just because I came out of the 60's, though that was a big part of it, but because of what I learned in doing the taxi work.  I had originally thought that rich people took taxis.  Guess what? It's those in poverty who take taxis because they need a car, right? Where else can you rent a car in 15-minute increments?  It turns out that it's a very bifurcated market.  Rich business men and poor people.  And that was a real shock to me.  I mean, now it makes sense, but it didn't at the time, and it actually surprised a lot of people.  Of course, if you were in the business, you knew who your clientele was.  But it was interesting that analysts and planners all had this view that the taxi was a rich person's travel mode.  That got me into looking at why it was that all these poor folks were taking taxis.  Then I started looking into their mobility and I suppose that had I not been a child of the 60's and cared about all that stuff, I might have pursued another angle.  But I got called to do this [laughs] and stuck with it.

Maybe that’s the secret of my success, if I you can say I've been successful.   I've never abandoned the focus on poor people and those with disadvantages.  I found ways to do research in these areas in the Reagan years when people weren't interested in funding such research.  During the Reagan years, for example, federal funding agencies were really hot about privatization and my stuff leads to that.  Taxicabs are privately owned and privately operated.  I was able to use their funding to expand the boundaries so I could look at a lot of other issues related to privatization. 

 

I concur in your observations.  There is no reason why the private sector can't solve some of these problems  I imagine a lot of taxi riders are on welfare and have no other way to get to the grocery store or they were people going to and from bars.

Going to bars was a big destination when I first began studying taxi ridership patterns. In 1972, I spent a month in Los Angeles asking questions of taxi riders. I got the operators of the largest taxi fleet in Los Angeles to let me ride around with the drivers.  The first time I went out on the 6:00 p.m. to midnight shift and I have stories that we can’t even talk about.  But a lot of people were going to or coming from bars. My guess is that it's come full circle again and there is even more bar stuff because of the drinking laws—lots of people are using taxis to go drinking.  They book them in advance because they know that they want to drink all evening in fancy restaurants and so forth, and nobody wants to be the designated driver.

   

Maybe you can do another taxicab study now.

[Laughs] Somebody has to pay for it before you can do it.

   

You’ve studied a lot of groups and some may be impacted more than others in various ways.  But  one finding that I was very intrigued with concerned working women, especially if they have young children and are more dependent on the automobile.

I don't know if you looked at the TCPR study that I did concerning transit markets of the future.  The census asked people their most common mode of transportation to work.  And dividing people by income, it turns out that women who make under $10,000 are less likely to use public transit than men who make under $10,000.  And women who make under $15,000 are more likely to drive to work alone than men who make under $15,000.  I think that men are more likely to be employed in concentrated service industries or in manufacturing jobs, where they all go in together or they are going to more concentrated work sites which are easier to serve with transit.  But women are going to work in Seven-Elevens out in god knows what low density area.  But on top of all of that, the differences between men and women are also due to having kids.

In my earliest research, I sort of ignored the structure of the labor market, as if it had no influence.  And I think it does.  But I think the larger issue that keeps showing up in my work, and in lots of other people's work now, is that women have the primary responsibility for childcare and, increasingly, eldercare, and there is no way to do that without a car. 

 

Now I know in the other reports you talk about the Transportation Demand Management research?

They keep changing the name but it means using a variety of strategies to reduce how much driving people do or how many miles they travel.  But some policies affect women more than men and my early work for the Department of Labor concluded that certain TDM measures were likely to be disproportionately hard on women.

 

It has affected even the University of California, where that philosophy drives some of the parking policies, for example.

Well, I have never been critical of giving out transit passes or promoting car pooling, or doing any of those positive things.  I don't think some of them are very effective, but I've never been critical of measures to promote alternative modes. But some kinds of measures can and do hurt women.  I've been worried about the punitive stuff like totally removing parking, forbidding your employees to come to work with a car, high gasoline taxes, road pricing, pricing formerly free parking.  I think that sort of stuff hits women harder.

 

I thought that was a very striking analysis that you published and it seems directly to the point. Has that had an impact on policy?  

No, my Department of Labor report got a lot of press, but I doubt it impacted policy. What happened was that as the various governments started to tighten the screws on people, they rebelled.  Travel reduction programs began to demand a whole host of things, like ending free parking on the streets.  And reductions were a moving target—the more single occupant vehicle trips you reduced one year the more you had to reduce the next year.  Initially the target for some cities or employers wasn’t hard to achieve--you promoted car pools or gave out transit passes.  But employers and cities had to keep chasing this target, so after awhile, all the easy stuff got done.  Then you had to start messing with people's lives—banning cars or parking.  But that stuff hurt people's lives, because many people couldn't do what they needed to do if they didn't have the car. Women couldn’t pick up their children at daycare and so forth.  So people started screaming and companies started screaming that they would lose business and lose employees.

All over the country governments began to remove the penalties from such programs, sometimes in dramatic ways. One year Congress took all the money out of EPA's budget for mandatory travel reduction programs. Over a ten year period from the middle of the 80’s to the middle of the 90's, many Federal, state, and local mandatory regulations was made voluntary.

 

So in other words, the Transportation Demand Management movement wasn't effective?

No--the incentives probably helped in some places as did the public attention to the problems created by cars.  But I still think the regulations affected some people differentially.  There’s a big difference between positive incentives and penalties or sanctions.  It’s one thing to promote car pooling, or to save the best parking for car poolers and it's another thing to tell me I can't park here anymore and I had better find some alternative way to come to work.  How am I going to drop my kids off at the magnet school without a car; how am I going to get home in the middle of the day to pick up my kids if they get sick at school or daycare if I came on a bus? Remember that initially employers were supposed to impose these mandatory measures on their employees. Well, employers didn't want to do it, because they were hearing so many complaints from their employees.  And employers started putting pressure on state legislatures and then on Congress, and so everybody backed off.  So while my research had little impact, the fact that I was right, that many measures hurt working women and their families, ultimately led governments to back off.  Of course, if people had been willing to do these things car use and traffic congestion and environmental pollution would have decreased.

 

One could have taken what you wrote and predicted what was going to happen.

Exactly, exactly.  But different kinds of programs can work—and sometimes for the same reason that penalties didn’t work.  For example,toll roads may be coming back in America—and their value is that you are not making things any worse for the people who are already on the highway.  But they offer, for money, an alternative that lets you go faster; either an entire roadway or one or two lanes right along the freeway which you have to pay to be in.  And analysts have discovered that there are some fairly low income people using these kinds of options.  Why are those people willing to pay to go in that lane? Because it's cheaper than another hour of daycare, or they can get home before 5:30 , when the daycare center charges them a huge penalty for being late.  And congested traffic has a habit of being erratic.  You know, if you are out in congestion and there is an accident, you could be sitting there for an hour, and you might miss the deadline for picking up your kids and have to pay a penalty.  Or you have a second job near your home and you have to get to it on time every day.  Because these lanes don't tend to have accidents or a lot of congestion, they are more reliable in terms of knowing how long the trip is going to take.

I was originally opposed to road pricing strategies because I thought they were inequitable and hit women worse than men—both because they were more likely to be poor and because, if they had kids, they had fewer options.  But the experiences so far suggest that these options are not as inequitable as I originally assumed.  But they also show that everything I said about people's behavior is right.  And what's interesting to me is that there is a whole community of people who do "travel demand" modeling, who ignored these issues for years. They didn’t recognize at all that there might be differences between comparable men and women.  Then suddenly in the last decade or so, they’ve started to change their models to account for travel differences by sex, or size of the family, or life cycle.

   

What about income?  

Well, they always looked at income and employment.  But in essence they treated a 55 year old man and his wife with two teenagers and a household income of $40,000 the same as a young couple with two young children and the same income. There was no recognition that those two young kids in the household were probably more important than income in predicting behavior.  What really annoys me is that some of the modelers say that the important variable is not sex but household role.  Yes, it’s true that two 22 year olds each living alone have roughly the same travel patterns even if one is male and the other female.  But if you drop a kid into the women’s house…

 

…it changes dramatically.

It changes everything.  And if you put them together in the same household with the kid, his travel patterns are not going to be the same as hers, even if they both have jobs outside the home. We know that.  So why go to the trouble of creating a ridiculous variable called "household role," which you can only infer rather than measure? Some analysts seem to do anything to avoid saying that men and women really are different and we ought to look at it that way.

 

Another possible use of this data is to reflect on cultural change, and who does what and why they do it.  

There's some really interesting stuff about that.  I actually covered some of that in the TCRP report.  There are people who do use-of-time studies who’ve found that when you line up comparable men and women they are just not doing the same thing with their time. Of course, income, and car ownership, and location in the city are all important.  But almost every study shows that sex is still associated with differences in travel and other behavior. 

 

This is a lot of food for research .  

Not as much I would like.  I mean, people are interested in this, so I give talks on the subject.  But I think what's changed public policy is that more and more young women with children have come into the workforce.  Society can't run without those women but suddenly we are realizing that they have other obligations.  This society is much less responsive than other developed countries, that's for sure. It’s funny but sometimes the old engineering types who have been fighting my research findings for years come up to me and say "my daughter and her husband, or my son and daughter-in-law, have this problem."  This is new for them because they either had wives who stayed at home, or wives who worked part time, or wives who didn't start working until the kids were gone.  So it's a generational change for the guys who are in power who suddenly realize that they have secretaries who have to go home for the kids, or leave at 4 o'clock to pick their kids up.   I don't think the research actually changed anything, but I think people, with their demands on the system, changed it.  Not enough, but some.

 

This is an interesting phenomenon that women are now necessary for the workforce, but still retain the child-bearing and child rearing roles.  There is a woman in the School of Social Welfare who did a study which pointed out that one of the problems in the suburbs is that not only are men  gone during the day, but the women are gone as well.  So there is no longer a kind of an interacting culture in suburban neighborhoods and the work place has become the center for those women.

Well, in the 50’s and 60’s, when a lot of the suburban wives weren't in the paid labor force, there were people who argued that there was no culture out there anyway.  There’s always been a lot of suburb-bashing, as if living in the central city was paradise. I bet that if you asked a bunch of people in Berkeley who live at very high densities where their friends lived, you would find that they made their friends at work or at a church or mosque or synagogue, not so much in their neighborhoods.  You can't control who moves into your neighborhood.  So there is no reason to assume you are going to have a culture of neighbors.

   

You have also done a lot of work on the elderly. 

Many of whom are women.  And that's not going away, in spite of the fact that we are all living longer.  At first the pundits said that if women were going to act like men, they were going to die faster.  And they are not.  The mortality gap between men and women is still there—so most old people will be women.

   

It’s clear from your work that elderly people already drive a lot by themselves or they depend on someone else’s private automobile.  A very small percentage of their transportation is mass transit, or even paratransit.  From your argument, it appears that this amount is going to increase.  Now, one observation is that as people get older, they drive less.  But, there is also some hint in what you've done that people in our generation, for example, are going to be less likely to reduce their driving.  Do you see that as a trend?

Guessing the future is always tough.  One way to do it is to look at people who are 50 and 60 now and just assume that when they are 70 they are going to look like they’re 50.  It's easy to imagine that people who have lived their whole lives dependant on the car are going to stay dependant on the car as long as they can.  People in our generation are going to drive more after retirement than people who are currently retired.  And I don't see anything turning that around.  I also think it's sort of pointless to talk about transit and walking, and all of those things, as if they were going to get us out of, let’s say, the crash problems created by older drivers.  This is not to say that we shouldn't have better pedestrian facilities, and better public transit, and better options for older people.  All of that we should do.  But that's only going to nibble at the margin.  Most people are going to continue to drive even when they are not good drivers.  They are going to delude themselves.

I do a lot of focus group work and sometimes the responses are hysterical.  Older people are harder on other older people than we are.  They will sit around and bitch about all the people they know who shouldn't be driving, and about how those people should be taken off the road.  But they don't ever perceive that they might be talking about themselves.  And maybe they are not-- any individual older driver can be a better driver than any of us.  But it can't be true that all the people I'm talking to in focus groups are better than average drivers.  So some of these people who are complaining that other older people are bad drivers – but they are not –must be bad drivers and not know it.  There is going to be a lot of denial.  And we haven't even talked about Alzheimer's and senile dementia.  This is going to be a huge problem.  There are people who think that the senile dementia issue is going to be much worse than that of physical problems, because if your eyesight is bad, or you don't feel well, or you can't see around things, you tend to limit yourself.  With Alzheimer's, you don't know to limit yourself.

   

In a number of your papers you review different solutions like paratransit and increased mass transit and you generally conclude that these are not going to be the panacea.   

There is no panacea.  But the public doesn't know that, and politicians don't know that.  Well, politicians may know it, but they know it's easier to pretend there is.  They will be out of office by the time it turns out that it doesn't work.

 

In one of your recent articles you mention the concept of a sustainable community.  In fact, you keep coming back to the idea that with different kinds of land use planning, a sustainable community would be the ideal direction to go, or maybe the panacea.   However, you appear to be pessimistic about getting there.

I don't believe in the trickle-down theory -- that anything we do to make a community more accessible will be good for the elderly.  I thing we need to design and redesign communities thinking about the elderly first and not last. That means we have to have better pedestrian support and transit options geared to the needs of older people.  For example, communities that didn't build sidewalks because they thought they didn’t look good or were too expensive, I think those folks ought to put sidewalks back in.  And I think we ought to give older folks more travel options. But lets face reality-- there are going to be 80 million older Americans by the middle of this century. And most of them are going to be driving.  So, let's say you take half of them off the road (which is not at all realistic) with paratransit or other alternatives, you still have horrendous numbers of older people with a broad mix of driver skills.  You've got to deal with that. 

   

I really agree with you.  Is there, on the other hand, a way to use this phenomenon as leverage for building better communities?  

Well I hope so.  But I’m upset by the focus of lot of those discussions. In lots of discussions of neotraditional communities, denser communities and so forth, people say that if we can redesign every metropolitan area in America older people will be better off, too.  It's the trickle-down theory.  Well, the trickle-down theory doesn't work.  That's just Reaganomics.  If I let the needs of older folks be subsumed by this craze for neo-urban, neotraditional, new urbanist communities, the plight facing older folks is going to get worse and worse.  I'd rather say there is tremendous evidence that the elderly will move if we provide them with better designed communities near their current friends and family. .  In other developed countries lots and lots of older people move after retirement.  Why? Because there is someplace to go.  Of course, some older people move across the country to seaports and traditional retirement communities. But, a lot of them just move in the same community because they have a wide range of housing types and you can't do that in America.

People say, oh, well, those elderly couples are rich because they’re sitting in a $500,000, 2200 square feet home.  But if they sell that house and try to buy something smaller, more appropriate for their age what can they buy in their own neighborhood? Another 2200 square foot house.  I really do think that some of the other ideals of a higher densityneotraditional community would work if we gear it only at the elderly.  I mean, skip the part about remaking what a metropolitan area looks like.  At a minimum that's going to take you 50 years.  Why don't we take some of those suburban neighborhoods where people have been aging since the second World War, and talk about doing a little bit of high density development right in the middle of them?

I like the model provided by Rancho Santa Margarita, in Orange County where the developer put in several senior facilities right next to the commercial part of the neotraditional development.  So older folks can just walk across the street to have coffee or go grocery shopping.  I'd like to see much more of that.  I don't think young people with children who want a backyard, are going to start moving into these units.  Nobody who can afford 2200 square feet is going to move into 900 square feet in a high-rise tower just because neotraditionalists think they should.  But older people might if we gave them the options, and we have some hints that that might work.

My favorite story is about a traditional orthodox Jewish neighborhood in Cincinnati with synagogues, kosher butcher shops, and things that cater to those folks.  A Jewish nursing home chain decided to build a retirement home in the middle of this neighborhood, because all the stuff the people they were marketing to would need was right there. They assumed their residents would come from a five state area. To their surprise most of the people who moved in were from the immediate neighborhood. Why?  Because they wanted to stay in their neighborhood but not in their large homes. They wanted the same synagogue, and the same friends, and the same butcher.  But until that was built, they had no choices, so they stayed in their houses.  We talk about the elderly being over-housed because their houses are too big for their current needs.  Yet people stay in those houses because they want all the other amenities of their current neighborhood and they don't see any other way to get them.  In this case there were no other choices in the neighborhood.  But the minute some of those people in Cincinnati were given a more appropriate choice that didn’t take them out of the neighborhood they flocked to it.

 

So, in other words, instead of thinking about a panacea, we need to do what we can in the context of where we are. 

Well that’s only part of my approach.  I think we have to first find out what any strategy does for the elderly; if other people decide that such features are attractive and they want to live there too, fine.  But my primary goal, and the way I judge a strategy, is how well its meets the needs of older people. And we have to recognize that some older people who  live across the street from the grocery store who think they are capable of driving, may still drive across the street or, more likely, to a different grocery story. But they can walk if they want to, which is the point, and we can offer other options, like community buses even for very short distances.  There is a lot of evidence that these small buses are actually quite attractive to the elderly.  They run very slowly, with a lot of personalized service from the driver.  That’s what I've spent the last few years working on and I think that’s going to be my approach for the rest of my career.

   

This overall approach of rebuilding, beginning where we are, and not working toward some grand redesign is very interesting.  

Well, you know what they say, "perfect is the enemy of good." We are looking for this perfect city and we're not going to find it.  People don't understand how cities work.  We have this belief that older people are willing to move, but in fact, that's not true, the vast majority of older Americans don’t move and the numbers are declining.  I know this sounds like I’m contradicting my own suggestions but I think that older people don’t move because they are committed to their communities but not necessarily their homes.  They might be willing to move from one kind of home to a smaller one at higher density closer to shops and other things within the same community or neighborhood —but they simply don’t have those options now.

 

That’s very interesting.   I didn't know that until I read one of your reports.

Well look at the 2000 data.   The mobility rate of older people—that is, the percentage who move home—has been steadily declining for decades. Unfortunately, gerontologists and housing planners and transportation planners all use the term mobility differently.  Gerontologists use mobility to mean can you get from one side of the room to the other.  This is very different from the transportation person's definition of mobility.  And housing planners use mobility to mean a move from one house to another.

   

If people move, they usually move to the next census tract.

That’s true.  They do not move to Arizona or Florida in mass numbers.  Which means that if people want to stay in their neighborhoods, why don't we give them some choices in their neighborhoods?

   

Obviously, our focus here at Berkeley is traffic safety.  How do you view the issue of mobility as related to safety?   

There was a major National Research Council conference in Washington in 1999 which examined these issues. One of the things we talked about was the need for a greater mix of safety and mobility.  For too long safety experts have focused only on regulating older drivers off the road to increase safety.  But that approach is being challenged.  It's hard enough to figure out who the unsafe drivers are and get them to stop driving. It’s going to cost a fortune to get more than a small percentage of them to stop driving by increasing restrictions or hiding cops behind billboards.  One thing we know about the elderly is that, as a group, those who don't have dementia – and that's most of them of course – are very, very responsible people.  They are law abiding and when they break the law, it's by accident.  When they have crashes, for example, it's not because they were speeding or violating the law.  They may have broken a law, but it's not because they were risk takers, it's because they couldn't see or they misjudged how close they were to the car in front of them. So having more restrictions may not help.  I think that a major way to increase safety is to give older drivers options for mobility, because a lot of them will know in their heart that they shouldn't be driving and they will take some of those options.  I genuinely believe that.

I think more and more the traffic safety community is recognizing that you can talk about harder tests and stricter rules and stricter licensing, but you also have to be realistic and talk about mobility options for people whose licenses you take away. 

 

So the key here is having options for people, other ways for them to meet their transportation needs.

Absolutely. I think that approach is slowly being adopted in the traffic safety community.  Instead of people saying thatolder drivers are bad guys, and how irrational for them to continue driving when they know they shouldn’t, I say it's perfectly rational for them to continue driving.  How are they going to get their groceries, how are they going to lead a life? It's irrational to assume they are irrational.  They are very rational, they are looking at their lives and they are saying, in some sense – not explicitly, but in some sense – I’d rather take the increased risk of the car crash than sit in my home for three weeks without getting out.  I'd rather take the risk of a car crash than calling up my daughter yet again and asking her to bring me groceries or take me to the store.  I'd rather take the risk of the crash than not seeing my friends or not going to church.  That's what they are implicitly doing, and that's rational.

   

There are a number of task forces in California, that are looking at the elderly driver.

I've heard about them, but I don't know what you found.

   

We haven't found anything yet, but the focus has been on things like licensure and physical disability that impact on driving.  But from what you are saying, it might be more important to not just measure people's physical ability to drive, but to assess their transportation needs and how they are going to meet these needs.

There is actually very little relationship between testing or what you find in the laboratory, and someone's crash rates.  And we don't fully understand that.

 

Except for maybe extreme conditions.

True.  But we don't even know the full story in extreme physical conditions.  We see a lot of cases of people with dementia who have a partner and who practice what we call co-driving.   He has dementia but there is nothing physically wrong with him; she has physical problems but no mental ones.  So they both get in the car, he drives and she says, go down to the corner, turn right and he does.  The problem is when he's wandering around alone.  But you know, there is very little to link dementia to crash rates.  It's just that we know that there are going to be more and more people with dementia—and increasingly they won't have somebody in the seat next to them.    

And current tests are pretty far off the mark—they don’t predict crash rates because they’re not measuring the right things. Sure, when you have stricter and stricter rules, some people stop driving.  Some people fail the test or decide not to take it, but, overall, there is no evidence that this has an appreciable impact on the crash rates. In fact, very few people fail those tests, you know.  There are differential state rates, but it's probably around 10% who fail overall. So let's say you go in and you don't fail, then you say to yourself, hell, I'm a great driver! Well, the problem is there is no relationship between what they are testing for and the crash experience of older people. Now we've sent these people out on the streets who think they are really good drivers, and they are terrible drivers. Current tests are just not catching the right people. 

   

Sounds like one part of this strategy might be to identify ways in which people meet their transportation needs, and try to enhance those. 

Yes! And you have to have both the carrot and the stick, I admit that. There are people out there who shouldn't be driving. But I honestly believe that if we had better options for older people, they'd drive less.  Now they aren't all going to say, "Okay, I'm giving up, you're right.  There is a little bus that comes around my house three times a day, I'm giving up my car."  But overall older people who have other options will drive less.  And as you reduce their exposure rate, you are going to reduce the crashes.  We have to do something.  Eighty million older drivers out there?  Plus all those bad teenager drivers.  What are we going to do? It's not going to be safe to be out there. 

Thank you very much.

  

Interviewed by David Ragland, Director, Traffic Safety Center
Berkeley, CA
April 2, 2001

Transcribed by Willitte Herman

 

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