RT Journal A1 Molnar LJ, Eby DW 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.2010.1151 UL http://dx.doi.org/10.1001/jama.2010.1151 AB In Reply: As Dr Finucane points out, the issue of older drivers with cognitive impairment is complex, and decisions that could lead to such drivers losing their license should not be taken lightly. Driving is considered by many adults to be essential to independence. It provides an opportunity for them to stay engaged in their community and to participate in activities that enhance their quality of life. Research suggests that driving cessation is associated with increased depression over time and decline in general psychological well-being.1