AMERICANS, WE ARE frequently told, have a "right" to drive around
without seat belts. And the Legislature has no "right" to take that
away from us by letting police enforce the law that's already on the
books.
It would be a legitimate argument -- if the government didn't
build the roads on which people drive, with or without seat belts.
And if the government didn't employ the police and emergency rescue
workers who have to drag the mangled bodies of unbuckled travelers
out of their cars. And if the government didn't pick up the tab for
at least a sixth of the unbuckled injured, through Medicaid and
Medicare. It might even be a legitimate argument in the face of all
that -- if driving were a "right" (i.e., something guaranteed by the
Constitution), as opposed to a privilege.
But the government -- acting on behalf of the public who pays the
bills -- does provide the roads and the emergency services and the
money to pay for medical treatment for a huge percentage of our
state's population. And that gives it every "right" to set some
rules for how to behave on the government-funded, government-secured
streets and highways, in order to reduce the cost of
government-funded hospital care.
As one highway safety advocate noted recently: Drivers aren't the
only ones with rights. Taxpayers have rights, too. In 2000, the
taxpayer-funded Medicaid program paid $4.2 million in hospital bills
for South Carolinians who were not wearing seat belts when they were
involved in an automobile crash. The taxpayer-funded Medicare system
paid $2.3 million. Another $10 million worth of treatment went to
unbelted crash victims who either paid their own bills or didn't
pay. Whatever percentage of that bill went unpaid by the patients
was actually paid for by the rest of us, through higher hospital
charges and higher insurance costs. Then of course there's the
matter of the $18 million in care for unbuckled victims who were
covered by private insurance companies -- companies that divide the
cost for the care they provide among all of us. The fact is that
except for that increasingly small number of people who pay every
penny of their own hospital bills, we all pay for the care of people
who are injured in wrecks.
Ah, you say, but we pay for that care whether the people in
crashes are buckled up or not. True. But unbelted accident victims
have more severe -- and thus more expensive -- injuries than those
who are buckled. In 2000, the average emergency room charge for
unbelted crash victims in South Carolina was nearly twice that for
belted victims: $1,170 vs. $617. Inpatient charges were 30 percent
higher: $26,344 vs. $20,626. And that doesn't even factor in the
fact that belted victims are far less likely than the unbelted to
need any hospital care at all.
The facts are pretty clear. Let police enforce the seat belt law,
and the chance of people wearing a seat belt increases by 10 to 15
percentage points. Wear a seat belt, and your chance of surviving a
wreck increases by 45 to 60 percent, depending on the type of
vehicle you're in. Your chance of avoiding serious injuries
increases by 50 to 65 percent. Your chance of not being thrown out
of the vehicle -- and thus of staying in control well enough to
avoid running into other people -- increases by as much as 70
percent.
Letting police enforce the seat belt law saves lives. It saves
money. It doesn't interfere with anybody's "rights." It's something
our Legislature needs to
do.