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April 25, 1986

Public Funds and the Injured Motorcyclist-Reply

JAMA. 1986;255(16):2161-2162. doi:10.1001/jama.1986.03370160059017

In Reply.—  Dr Morris has recommended denial of state funds to pay for uninsured motorcycle injuries. However, he does not provide a viable option of who will pay and support this multimillion dollar a year deficit. Just as smoking and drug abuse have absorbed a disproportionate health care dollar, so does the uninsured, alcohol-intoxicated motorcyclist. Luna et al1 found very similar conclusions in that the intoxicated cyclist tends not to wear a helmet, to be at fault for an accident, and to have an increased risk for severe head injury. In conclusion, the body of evidence continues to build against this major expenditure of the health care dollar. Dr Morris and others have yet to prove in scientifically sound studies that intoxicated uninsured motorcyclists who do not wear helmets are safe, prudent consumers of the health care industry.Conversely, Dr Vernon has diligently and explicitly outlined strong supporting evidence