Lives,Liberty,and Seat Belts in Britain: Lessons for the United States

Abstract

By the end of this decade virtually all fifty U.S. state legislatures will have debated, and many will have adopted, mandatory seat belt legislation. While the debate in the United States has just begun, one can anticipate and preview the issues, arguments, and results by examining the British debate over, and experience with, a mandatory seat belt law. From this cross-national perspective, this article examines the practical, philosophical, and preventive health care dimensions and implications of this debate.

Based upon personal interviews and the Parliamentary record, the author traces the background of the issue, and the major arguments for and against mandating seat belt use. Particular emphasis is placed upon the libertarian objections to such legislation, and how some British Conservatives were able to reconcile their philosophical beliefs with public safety needs. The article concludes by suggesting some lessons which U.S. proponents of mandatory seat belt legislation might learn from the British experience.

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References

Lalonde

A New Perspective on the Health of Canadians, p. 32. Department of National Health and Welfare, Ottawa, 1974.

Knowles

J. H.

The responsibility of the individual. In Doing Better and Feeling Worse: Health in the United States, edited by Knowles

J. H.

, p. 59. W. W. Norton & Company, New York, 1977.

Sommers

A. R.

Hayden

Rights and responsibilities in prevention. Health Education 9: 37–39, 1978.

Battistella

Disease prevention and health education. In Health Care Policy in a Changing Environment, edited by Battistella

R. M.

Rundall

T. G.

, McCutchan Publishing Corp., Berkeley, 1978.

Powledge

No smoking: New sanctions for old habits. Hastings Center Report, April 1978, pp. 11–12.

Kramer

Self-inflicted disease: Who should pay?

J. Health Politics, Policy and Law 4 (Summer): 139–141, 1979.

Charrette

Life styles: Controlled or libertarian. N. Engl. J. Med 294 (March, 1976), p. 732.

Meenan

R. F.

Improving the public's health-some further reflections. N. Engl. J. Med. 294 (July, 1976), p. 46.

Tesh

Disease causality and politics. J. Health Politics, Policy and Law 6 (Fall): 378–379, 1981.

10.

Veatch

Who should pay for smokers' medical care. Hastings Center Report, November 1974, pp. 8–9.

11.

McKeown

Behavioral environmental determinants of health and their implications for public policy. In Future Directions in Health Care: A New Public Policy, edited by Carlson

Cunningham

, pp. 31–33. Ballinger Publishing Co., Cambridge, Mass., 1978.

12.

Weale

Invisible hand or fatherly hand? Problems of paternalism in the new perspective on health. J. Health Politics, Policy and Law 7 (Winter): 785, 1983.

13.

Crawford

You are dangerous to your health: The ideology and politics of victim blaming. Int. J. Health Services 7: 663–680, 1977.

14.

Graber, Assemblyman. Comments in the New York State Assembly debate, June 21, 1984, p. 116.

15.

Smith, Senator. Comments in the New York State Senate debate, June 13, 1984, p. 4857.

16.

Guttromson

Legislative Council Librarian, North Dakota Legislative Council. Material provided to the author.

17.

Illinois State Senate debate, December 12, 1984, pp. 55–56.

18.

Insurance Institute for Highway Safety. Seat belt use laws: What to expect. Status Report 19 (September 8, 1984), pp. 1–7.

19.

Highway Users Federation. The Safety Belt Proponents Guide. See especially Part Five: A summary of the effects of mandatory safety belt use in foreign countries. Washington, D.C. (no date).

20.

Mackay

G. M.

Co-Chairman of Parliamentary Advisory Council for Transport Safety. Letter to Governor Mario Cuomo, June 22, 1984.

21.

Stone

Obstacles to learning from comparative health research. Policy Studies J. 9: 78–85, 1980–1981.

22.

Sidel

V. W.

International comparisons of health services: How? who? why?

Policy Studies J. 9: 300–307, 1980–81.

23.

House of Lords Hansard, Parliamentary Debates, 421(95), June 11, 1981.

24.

House of Commons Hansard, Parliamentary Debates, 6th series 28, July 28, 1981.

25.

House of Lords Hansard, Parliamentary Debates 420(77), May 7, 1981.

26.

Lawrence

MP (Conservative). Interview with author, London, June 4, 1984.

27.

Mill

J. S.

On liberty. In The Philosophy of John Stuart Mill, edited by Cohen

, p. 197. The Modern Library, New York, 1961.

28.

Taylor

MP (Conservative). Interview with author, London, June 21, 1984.

29.

Fry

MP (Conservative). Interview with author, London, June 13, 1984.

30.

Sims

MP (Conservative). Interview with author, London, June 11, 1984.

31.

Myer

Sir, MP (Conservative). Interview with author, London, June 4, 1984.

32.

Ramsey

Political Advisor to the Secretary of Transport. Interview with author, London, June 11, 1984.

33.

Oregonian, April 13, 1985, p. A2.

34.

New York State Assembly debate, June 21, 1984.

35.

Illinois House of Representatives debate May 16, 1984, p. 216.

36.

Bismarck Tribune, April 9, 1985, p. 21.

37.

St. Louis Globe Democrat, February 14, 1985, p. 15.

38.

Oregonian, March 23, 1985, p. C8.

39.

Illinois Senate debate, November 28, 1984, p. 52.

40.

Oregonian, March 10, 1985, p. C1.