RT Journal
A1 Carr DB, Ott BR
T1 COgnitively impaired older drivers, risk assessment, and physician responsibility—reply
JF JAMA
JO JAMA
YR 2010
FD August 18
VO 304
IS 7
SP 744
OP 745
DO 10.1001/jama.2010.1150
UL http://dx.doi.org/10.1001/jama.2010.1150
AB 
In Reply: Dr Finucane raises several excellent points. We agree that the issue of confidentiality must be weighed in decisions to report at-risk cognitively impaired older drivers. Physicians have an obligation to protect health information, and that breech of confidentiality to a third party has to be carefully considered. In the case of dementia, physicians are often faced with patients who lack insight and decision-making capacity. In this instance, involving a surrogate decision maker or a third party like the state may not only be appropriate but also be justifiable from both a legal and ethical standpoint.1