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Neurological diseases: danger for the driver’s license?

According to a recent regulation, a diagnosis of Alzheimer’s, Parkinson’s or multiple sclerosis can be enough to disqualify some drivers and require others to seek medical advice. 3 associations apply to the Council of State for its repeal

Drivers with Alzheimer’s at a standstill? The Decree of March 28, 2022 establishing the very long list (80+ pages) of all incompatible or compatible medical conditions for license possession (linked below) establishes that any person with a neuropathology is -scalable “Driving ban without diagnosis from level 3 of the Reisberg scale”, regrets the handicap of APF France. If the association considers this to be a “slight cognitive impairment!” »Traffic Safety replies that “cThis is when friends, family, and co-workers begin to notice certain memory or concentration problems. In practice, for example, when driving a car, the person no longer pays attention to certain red traffic lights ». For other neurological diseases such as multiple sclerosis or Parkinson’s disease, the text provides for an immediate incompatibility with driving a vehicle “until specialized medical advice is obtained from a multidisciplinary team including at least one medical specialist and one occupational therapist”.

inequalities of ” Treatment “ ?

Supported by the Interior and Health Ministers, this regulation was published in the Official Journal on April 3, 2022 at the suggestion of the Interministerial Delegate for Road Safety. It thus repeals the Decree of December 21, 2005 to “taking into account (the) scientific and technological innovations”, in particular in relation to interior design and driving assistance. It acknowledges certain positive developments in this respect, particularly for drivers with uncomplicated diabetes, who are not at risk of hypoglycaemia as a result of the treatment, who are no longer required to have a medical examination to drive light vehicles (cars and two-wheelers) The decree also lifts the ban on light vehicles for people with certain very severe mobility disabilities .

Complaint to the State Council

Two months after its publication, on June 3, the APF France Handicap, the Union France Alzheimer and Related Diseases and France Parkinson appealed this text to the Council of State, on the grounds that it was invalid “raises many problems”. “For example, it does not provide for any support measures for the sick and caring relatives, nor does it specify when, how and by whom the medical examination should be carried out,” You explain. Another pitfall: no possibility of objecting to the opinion of the licensed doctor. In addition, this healthcare professional needs to rely on a scale, especially for Alzheimer’s and related diseases “which has not been used by physicians to determine the stage of cognitive impairment for more than twenty years,” the unions are angry.

Less autonomy, more isolation?

They also regret that this text, which they believe undermines autonomy by preventing certain people from driving overnight, was adopted without first consulting or informing patient associations. Finally, the latter fear an increase in isolation and social exclusion “which could even result in people who may be sick going undiagnosed”. In this sense, according to the associations, this text demonstrates the “Misunderstanding” authorities towards neurodeveloping diseases and other neurological disorders, “unaware of the catastrophic consequences their hasty decision may have”.

Procedure of the medical examination

Specifically, this new text defines the further procedure. The licensed physician or medical board reviews the user’s record and then conducts a clinical examination that includes an interview and physical test. If he deems it appropriate, he can also request an additional examination, in particular a psychotechnical one, as well as a driving test. At the end of the medical examination, the authorized doctor fills in the Cerfa form no. 14 880 on “Driving License – Medical Report”. If a condition causes a “Incompatibility” With the behavior, whether permanent or temporary, it renders the opinion “invalid”. The information will then be communicated to the user about the necessary conditions and deadlines that would allow him to subsequently make a judgment of suitability. Other options: “Compatibility”, “temporary compatibility” or “Compatibility with layout according to rating”. In fact, in certain cases, an adaptation of the vehicle can be proposed, especially for people with peripheral neuropathy.

For a text that respects patients’ rights

Even if the associations do not deny the need to better regulate the continuation of driving for people suffering from a neuroevolutionary disease, they nevertheless denounce a text that makes no difference, “It is not possible to take into account the actual damage caused by the diseases to the capacities” Drive. They therefore call for the cancellation of the articles on Alzheimer’s disease and related diseases, Parkinson’s disease and multiple sclerosis, and the elaboration of another text with the authorities “which this time respects the rights of sick and carers”. The French Society of Neurology filed a petition with them to “to support this approach and to offer its scientific point of view on the provisions of this decree related to neuroevolutionary diseases”. There is no doubt that they are impatiently awaiting the decision of the Council of State to “pass the second”…

“All reproduction and display rights reserved. © Handicap.fr. This article was written by Cassandre Rogeret, journalist of Handicap.fr.”

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