Can safety regulations kill you? How safe are seatbelts and seatbelt laws?

2009 June 21

By Navin Kumar
Article ID: 1327

Seatbelts save lives, right?

They secure people to the vehicle so that if an accident occurs, passengers are prevented from being thrown around and hitting interiors of the car and breaking their necks. They prevent passengers from crashing into each other or being thrown out of the car. Given their ability to prevent second impact, their life saving ability should be obvious.

Right?

Not really. One of the fundamental principles of economics is “People respond to incentives”. When the ‘cost’ (in terms of injury) of driving rashly is high – such as when the streets are  narrow and full of potholes – people respond by driving slowly. Conversely, when the cost is lower – such as when you’re driving along a deserted, straight, smooth, well marked road – you can drive faster with less fear of killing yourself. When a car is equipped with seatbelts, people drive faster since the pain and suffering they would experience if they crashed has been reduced.

If this sounds absurd, ask yourself: would you drive with greater care if – one fine day – you woke up and discovered that someone cut away your seatbelts? If the answer is yes, then it means you aren’t driving as safely as you can, right now with your seatbelt on.

People face trade-offs. They can spend an hour cleaning up the house or watching TV, but not both. They can have, within the hour, a clean house or the pleasure of having watched Ross get divorced, but not both. Similarly, they can drive fast and get home from work quickly (risking a car crash) or they can drive slowly and reduce the risk of getting into an accident (but come home late). The speed most people finally choose depends on their tastes, urgency and whether there’s something good on TV or not. If the risk of getting hurt in an accident is reduced, people “consume” some (if not all) of the increased safety by converting it into speed.

In essence there are two ‘effects’ of having seatbelts on the number of people who die in car crashes.  Seatbelts reduce the severity of accidents when they happen, and they decrease the number of deaths. But they cause people to drive faster and more recklessly, causing more accidents and increasing the number of people who die.

What then, is the net result? Do seatbelts increase or decrease the number of people who die? We can’t come to any conclusion using just theory. We need to research and at look at empirical data. And in 1976, an economist at the University of Chicago’s Graduate School of Business – Sam Peltzman – set out to do just that. He discovered that mandatory seatbelts did nothing to the death rate. In other words, the two effects cancelled each other out, resulting in neither fewer nor more deaths.  More evidence came in 1982 from Professor John Adams (University College, London), who surveyed 18 countries (covering 80% of the worlds driving population). Adams concluded that countries with seat belt regulation fared no better than those without. In some cases, they fared worse. He succinctly phrased the Peltzman effect: “Protecting car occupants from the consequences of bad driving encourages bad driving.” Most studies following Peltzman have come to the same conclusion.

In the interest of fairness, there are people – like Steven Levitt- who insist that the Peltzman effect is a lot more trivial than is presented.

The Peltzman effect has many applications outside regulatory economics, like in the area of risk compensation. Researchers have discovered, for example, that wearing a helmet while bicycling can cause drivers to drive closer to you because the amount of injury you suffer as the result of a possible collision is reduced. In fields outside safety and traffic, studies have suggested that condom usage might not reduce the spread of AIDS since they encourage people to have sex more often. At more dubious levels, it has been suggested that risk compensation is why people get into more accidents near home or why so many rapists happen to be relatives or friends of the victim.

William Rodgers, the UK’s Secretary of State from 1976-1979, said this about seatbelt regulations:

“On the best available evidence of accidents in this country – evidence which has not been seriously contested – compulsion could save up to 1,000 lives and 10,000 injuries a year.”

But unfortunately, this isn’t true. His estimates are based only on the direct effect of seatbelts: their ability to reduce the impact of accidents. It doesn’t include the fact that people will change their behavior in response to changes in their environment.

What’s the moral here? The most obvious one is that we should be extremely careful about introducing new safety regulations. This covers not only traffic related regulations but also – for example – child-proof safety caps for medicines. Here’s John Stossel’s take:

“In 1972, the FDA passed a law requiring child safety caps on many medications. It was supposed to keep kids from being poisoned by drugs like aspirin. But there is an unexpected side effect. Because safety caps are hard to get off, some people – particularly older people – leave them off, and some parents, feeling safer with the cap, leave the aspirin where kids can reach it.”

A study of this “lulling effect” concluded that, because of this regulation, an additional 3,000 children have been poisoned by aspirin.

There is a far more important lesson here: whether it comes from the government or the company HR department, be skeptical of any idea or policy which changes the rules and makes a prediction which doesn’t take into account how people will behave after the rule change. The condoms-might-accelerate-the-spread-of-AIDS hypothesis is an example.

Of course, this doesn’t mean that such policies shouldn’t be put into motion. What skepticism means here is that all such policies should be monitored to verify that the Peltzman effect doesn’t defeat the policy’s purpose. The implications of ideas like Peltzman’s study aren’t that things shouldn’t be done, but rather that the ideas should be evaluated by the results they produce  and that we shouldn’t be blinded by ideology – even on so “trivial” a matter as a seatbelt or a bicycle helmet.



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13 Comments
2009 June 21

It would maybe support the argument better if it cited figures that were less than 27 years old.

If the statistics on accident survivability with and without safety belts show an improvement with belts, that still indicates a benefit from belts, even if the drivers in question were doing their level best to negate or minimize that benefit.

So the benefit isn’t in question, only the extent of the benefit.

According to the NHTSA, in 2007 nationwide use of “restraints” was 82%. The remaining 18% not using restraints accounted for at least 50% of the fatalities — that’s not including fatalities where it wasn’t known if belts were being used.

2009 June 22
Hazzel permalink

Are you reading the study closely enough? You can’t just skip the limitations of a study like that, the factors would be close to endless: what about means of getting a drivers license, at what age are people allowed to get a drivers license, is it hard to drive in the specific country (e.g. snow and mountains where accidents are high in numbers, or straight roads where accidents are so low in numbers they don’t need regulations for seat belts) and so on. You can’t just ignore all other possible factors and say: “look, seat belts have no effect”…

Oh, and the ‘condom-usage-AIDS-argument’ is just plain stupid IMO – it’s like saying “bungyjumping ropes might not reduce death from hitting the ground since they encourage people to jump out of cliffs more often”.

2009 June 22

Regardless of minutia about the net effect of injuries and death, the government has no right to protect you from yourself. If you want to drive without a seatbelt and risk death, that’s your business. It hurts no one but you. Seatbelt laws are just like motorcycle helmet laws. You’re risking your own life and no one else’s when you ride a motorcycle without a helmet; so it’s your own business if you don’t want to wear one.

2009 June 22

Hi Josh,

I agree with your statement but disagree with your conclusion.

Yes, I believe the government has no right to protect me from myself. However, I believe it does have the right to mandate my behavior if I’m putting others at risk. I disagree with your statement of “It hurts no one but you.”

I have a 4-year-old daughter. She’s not in a position to know whether or not she needs a seatbelt. But if I *don’t* put it on her, I’m the one responsible for her increased chance of injury or death – my choice of seatbelts or no seatbelts can hurt others besides me.

I think in terms of child protection, laws like seatbelts – where harm can be done to you by others – should indeed be mandated. At least to a certain age. Adults should know better. Let them control their own lives. Children, though, don’t yet have that advantage. The law should protect them against accidents and stupid parents.

This same argument could also be made for mandatory vaccinations: make sure the kids are at least given a chance, regardless of how stupid or misinformed the parents are. I’m sure that idea would go over well with the USA’s anti-vaccination crowd. :)

Andy

2009 June 22

Andy:

Ah, two sides to every story. I think we all have to overcome the handicap of our parents. The current laws don’t keep people from leaving their kids unbuckled. Laws don’t change people’s behavior, only people do. Given our current governmental structure, other options, like New Hampshire’s, where only those under 18 have to wear seatbelts, are better than a blanket mandate.

As for vaccines, I’m in the anti-vaccination crowd:-) There is a lot of science that demonstrates the dangers of vaccines. My wife had a bad reaction to a vaccine as a child. Much of the research we read came from doctors that are opposed to vaccinations because they have directly observed the dangers; Congressman Ron Paul, who is an M.D., has even spoken out against forced vaccinations. I have 4 kids and none of them have been vaccinated allopathically. A different set of facts persuaded me of the dangers of vaccines, than those facts that persuaded you of their validity. Where does the collection of individuals known as “society” get the right to tell me that the verdict of my mind is inferior?

Skeptics should be skeptical of ALL claims, until they have seen the facts behind them. Politicians and Doctors (especially politicians) are only human. It is dangerous to believe your doctor no matter what. Would you believe a PhD. in some other subject no matter what, or would you check out their facts to verify for yourself?

Trust no one… :-)

2009 June 22
Sandra H permalink

For fear of wading into a vaccination debate, the current issue of Science News (June 20, 2009) has a very interesting article on the psychology of conspiracy theorists and the Trust No One mentality…

“Such [conspiracy] convictions depend on what he calls ‘selective skepticism.’ Conspiracy believers are doubtful about information from the government or other sources they consider suspect. But, without criticism, believers accept any source that supports their preconceived views, he says.
‘Arguments advanced by conspiracy theorists tell you more about the believer than about the event”…

Single cases are anecdotal and/or statistically insignificant. I can tell a story, too. My mother, as a student nurse, spent time working in a pediatric unit dedicated to one type of case: Children who had been severely and permanently brain damaged by measles.

Every day we live with the verdict of our so-called society and every moment of every day we tell people that their judgement is inferior. When there is no harm to others, then this judgement is (or should be) suspended. I, however, have infant who, until she could receive certain vaccines, was susceptible to contracting those diseases from others.

On a different note, after reading this article I’ve found myself driving and imagining that my kids weren’t buckled up (they are of course). When I do this I find myself driving more cautiously and conservatively. Thanks for making me a safer driver!

2009 June 22

Josh,

As for vaccines, I’m in the anti-vaccination crowd:-) There is a lot of science that demonstrates the dangers of vaccines.

…and far more science demonstrates the dangers of not vaccinating. Your statements indicate I haven’t done my own research. Don’t assume that’s the case. :)

Based on your response, I’d rather not debate this issue. It belongs in a bigger forum – perhaps as a future article by one of us regulars? For people like us, I don’t think this is the type of issue where one can change another’s mind without massive effort, possibly requiring a lightning strike to the head. :) However, I did want to answer this point which also relates to the original article:

Where does the collection of indiviuals known as “society” get the right to tell me that the verdict of my mind is inferior?

Beware: a person could use that statement to justify anything, no matter how good, noble, horrible or evil.

To answer the question, society gets that right when:

1) You are a part of that society
2) Your decisions could harm others

This is my philosophy and understanding of the system. It may not be yours. While I don’t agree with every law, I still try to follow them because that’s one reason I’m allowed to live here. The social and legal contracts state that “if you live in this house, you abide by the house rules!” (Things do, of course, get tons more complex when our kids’ health is at stake.)

Also, I apologize for inadverdantly calling you a “stupid or misinformed” parent. I didn’t mean you. Whether or not I agree with you, you’ve obviously put thought into your decision, and I respect that.

Andy

2009 June 22

Sandra H,

Thanks for the additional information. And on your last comment about the perception of seatbelts leading to safer driving: I’m with you. Whether you agree with the parent article or not, being more aware of your environment and imagining “what if” is definitely a prod to safer driving habits.

I wish I had that kind of sense when I was younger. I did a lot of stupid stuff. :)

Andy

2009 June 22

I don’t think the article presents a very strong case. The studies cited seem somewhat inconclusive, though perhaps they are more thorough then they initially appear. And the preliminary premise, that drivers behave less safely when they’re wearing seatbelts, just isn’t true for me. I do not trust any seatbelt implicitly, so I have no desire to risk mine or my childrens’ lives by driving the least bit more recklessly just because we have that small measure of protection from harm. Still, I do appreciate the reminder to be constantly vigilant in my driving safety.

I definitely disagree on principal with laws mandating seatbelts for adults, as I don’t believe that any government has a right to, “force” me to protect my own safety. I personally will not even drive around the block without fastening my safety belt, but I do not presume the right to tell anyone else they must do the same. I’m still somewhat torn on the issue of mandating seatbelts for children, however – a small child can’t make that decision for themselves, and while I agree that children to some extent do necessarily suffer from the poor decisions of their parents, I’m not sure where that line should be drawn (should parents be prosecuted for feeding their kids too much junk food, for instance?). I have known parents who probably would have not buckled their children into seatbelts had it not been to avoid legal repercussions, though. So, given that the nature of seatbelt protection is from immediate and potentially devastating harm (whereas a childhood of junk food may or may not have severe health ramifications for a child over time), my inclination is that seatbelt laws for children should indeed be mandated.

Despite my strong feelings and researched conclusions on the topic, I’ll avoid the vaccine debate here – a topic for a whole other article & discussion. :)

Such [conspiracy] convictions depend on what he calls ’selective skepticism.’ Conspiracy believers are doubtful about information from the government or other sources they consider suspect. But, without criticism, believers accept any source that supports their preconceived views, he says.

This statement seems to assume that skeptic = conspiracy theorist. I am a skeptic, but not a conspiracy theorist. I don’t look for malintent lurking behind every corner. And further, a true skeptic is willing to evaluate and adapt their OWN views when evidence contradicts them. Anyone who says they trust no one, but believes their own views are infallible, is promoting a contradiction. For me, trusting no one doesn’t mean that I think everyone means me harm, it means that I recognize that every human is capable of error, and thus I take nothing at face value.

2009 June 23

Andy:

We could debate how much science does or does not validate vaccines all day, as we obviously disagree on this issue. My point is that I shouldn’t be forced to do it your way because the facts have persuaded us in different ways.

Concerning my “society” statement, yes, there is much more to objective morality than is contained in that statement. It is a self-evident truth that no one has the right to harm anyone else. But acting as if “society knows best” is ludicrous. “Society” is not an entity; it is simply a group of individuals.

I agree with laws, so long as the laws do not infringe upon our natural individual rights.

I laughed when I read your response about vaccines because I knew you had no idea you were talking to someone that is against vaccines.:-)

And my trust no one includes oneself. I try to look at all the sides of a debate before I make a decision. It’s the reason I’m not a Christian anymore. After much study and debate, I decided the facts didn’t support my religion.

Anyway, I love the thrill of arguing, but, as you said, this isn’t the place. Maybe one of these days, I’ll be able to stop chasing kids and write some articles about these topics.:-)

2009 June 23

By avoiding vaccination, you put a lot of people at risk besides yourself. Aside from saying that, I’m not going to get into an argument with the Jenny McCarthy crowd.

2009 June 29

So if vaccines make you immune, then why are you in danger from the unvaccinated? The reverse is true. Those that haven’t been vaccinated are at risk from the vaccinated. Most modern cases of the diseases we vaccinate against are in the vaccinated. Most of the disease we vaccinate against were on the decline, possibly due to better sanitation, cleanliness, etc, when the vaccine was introduced.

Before you resort to ad hominem attacks, read some of the research:
http://www.chetday.com/vaccinationmyths.htm
Google “dangers of vaccines” or something along those lines for more information.

I have no problems with those that disagree with me, but don’t resort to the use of fallacy. There’s enough of that going on in the world already. If my facts are wrong, refute them; if my reasoning, disprove me. But hear both sides before you pass judgment.

2009 December 6

Certainly believe that lap belts are dangerous – on impact they can cause terrible damage.

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