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Why some seniors should sign ‘driving contracts’ and agree to hang up their car keys

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Why some seniors should sign ‘driving contracts’ and agree to hang up their car keys

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Some aging drivers are signing contracts to help determine when their time behind the wheel should come to an end. 

These “advance directives” are to help protect drivers’ safety and facilitate what can often be tough decisions for families.

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Lewis Morgenstern, 61, a professor of neurology, neurosurgery and emergency medicine at the University of Michigan, plans to sign such an agreement when he turns 65, as reported by KFF Health News.

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Morgenstern will stop driving whenever his children decide it’s time, according to the directive.

“I recognize that I might not be able to make the best decision about driving at a certain point, and I want to make it clear that I trust my children to take over that responsibility,” Morgenstern told KFF Health News. 

Nearly 50 million people 65 years of age and older had driver’s licenses as of 2021, a 38% uptick from 2012, according to the American Automobile Association via KFF Health News. (iStock)

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Morgenstern was also the co-author of a study published in the Journal of the American Geriatrics Society in Nov. 2023. It measured the driving behaviors of 635 individuals with cognitive impairment.

“I recognize that I might not be able to make the best decision about driving at a certain point.”

Researchers from the University of Michigan found that 61% of older adults with cognitive impairment were still operating a vehicle — even though 36% of their caregivers were concerned about their driving ability.

“There is undoubtedly a group of people who are driving and shouldn’t be because they’re a risk to themselves and to others,” Morgenstern said.

Risks associated with senior driving

Data shows that risks are on the rise. As of 2021, nearly 50 million people age 65 and older had driver’s licenses, a 38% uptick from 2012, according to the American Automobile Association.

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Almost 19 million of those drivers were 75 or older. 

Some aging adults are signing contracts related to when they will give up their car keys, KFF Health News reported. (iStock)

Between 2012 and 2021, motor vehicle deaths involving drivers age 65 and older increased by 34%. The number of seniors injured in vehicle crashes that year exceeded 266,000 in 2021, KFF Health News reported.

Some of the biggest risks exist among older drivers who develop medical conditions that interfere with their driving ability, including dementia, Parkinson’s disease, glaucoma and arthritis.

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“Among the bigger safety concerns are fender benders that they do not remember,” Tina Paff, president of Bick’s Driving School of Western Hills in Ohio, told Fox News Digital.

“Sure, it could be a mailbox or a pole, but sometimes it is a car or a pedestrian.”

Driving at night can also be dangerous, she noted, as the visual processing speed in older drivers is decreased. 

Older adults have a higher risk of injury in the event they’re involved in an accident, according to experts. (iStock)

Getting lost while driving is another common occurrence among senior drivers, said Paff, who heads up the Bick’s Driver Rehabilitation Program. It evaluates older adults’ driving skills to determine whether or not those drivers should “retire” from operating vehicles.

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Nigel Tunnacliffe, co-founder and CEO of Coastline Academy, a national driving school headquartered in California, pointed out some of the biggest dangers associated with older drivers.

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Those include hearing loss, difficulty taking in their full surroundings, greater risk of injury in the event of an accident, the use of older car models, and a lack of experience behind the wheel, which is often a factor when an older adult loses a spouse and is suddenly the sole driver, he noted.

‘No single, universal age’

There is “no single, universal age” at which people should stop driving, Tunnacliffe told Fox News Digital.

“It’s often not something that we can tell in advance. We cannot say with certainty that, for example, as soon as someone hits the age of 75, they should automatically and voluntarily step away from driving.”

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He added, “It’s perfectly plausible — and common — that they will remain competent and effective drivers at that age.”

A driving expert suggests families make driving decisions based on an “actual, objective evaluation” of how an individual is faring behind the wheel.  (iStock)

While Tunnacliffe acknowledged that age-related effects like vision loss, hearing loss and decreased mobility can make driving more dangerous, not everyone experiences these limitations at the same age, if at all. 

Rather than setting an arbitrary date beforehand, Tunnacliffe recommends that families make the decision based on an “actual, objective evaluation” of how the individual is faring behind the wheel. 

“We cannot say with certainty that as soon as someone hits the age of 75, they should automatically and voluntarily step away from driving.”

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“For instance, having older adults take refresher courses can not only help make the decision of when to stop driving clearer, but it can also improve their driving skills more generally, and the assessments from those lessons can be shared with family members to help make the end-of-driving decision,” he told Fox News Digital. 

Types of driving contracts

There are various types of advance driving directives.

“One asks a person to name a family member or friend who will talk to them about whether it’s safe to continue driving,” noted KFF Health News. 

This type is not legally binding.

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With another type of contract, family members agree to help the person continue driving in a safe way or help the individual find an alternate means of transportation.

The Alzheimer’s Association has published a non-binding directive that encourages people with dementia to designate someone to flag any driving-related concerns as the disease progresses.

Part of the agreement states the following: “I understand that I may forget that I cannot drive anymore and may try to continue driving. If this happens, please know that I support all actions taken, including removing or disabling my car, to help ensure my safety and the safety of others.”

Age-related effects like vision loss, hearing loss and decreased mobility can make driving more dangerous, one expert told Fox News Digital. (iStock)

Paff said she thinks advance directives are “a great idea,” although she has some concerns that people with memory disorders won’t remember signing it.

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“It would provide proof, however, for the families dealing with a disgruntled adult driver,” she said.

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These types of contracts could prove helpful if the driver was of sound mind when signing it, said Paff — but warned that in some cases, the memory-impaired parent may think it was “made up” or that “everyone is against me.” These are objections that she commonly hears, she said.

“There is undoubtedly a group of people who are driving and shouldn’t be because they’re a risk to themselves and to others.”

To minimize conflict and uncertainty, Paff recommends getting a formal evaluation from a third-party driver rehabilitation specialist to “take the family out of the mix.”

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Tunnacliffe also recommends enrolling senior drivers in annual driving lessons, as well as having open and honest conversations about their cognitive and physical abilities.

“The contract model does not challenge misleading assumptions and biases against older drivers, and it is important that we adopt a more realistic approach that respects both their safety and their autonomy,” he said.

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Rare tick-borne virus turns deadly fast as US cases reach record high, experts warn

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Rare tick-borne virus turns deadly fast as US cases reach record high, experts warn

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A rare and potentially fatal tick-borne illness currently spreading across the United States can be traced back to a 1958 case involving a young boy on a farm.

The disease, known as Powassan virus, was named for the Ontario town near where it was first discovered.

At the time of his death, Lincoln Byers, a 4-year-old living in Canada, had a condition that medical professionals could not explain, the Boston Globe reported.

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Years later, researchers discovered a tick harboring the same virus on a dead squirrel, finally providing an answer to the tragedy, but foreshadowing a growing public health challenge.

While once considered an obscure medical anomaly, Powassan virus cases have reached historic highs in the U.S., data show.

Powassan is most prevalent from late spring through mid-fall, when tick populations peak and outdoor activity increases. (iStock)

According to the Centers for Disease Control and Prevention, 76 Americans were diagnosed with the virus in 2025, the highest annual total on record. Previously, the U.S. averaged just seven to eight diagnoses each year.

The virus is primarily transmitted to humans through the bite of an infected woodchuck tick or deer tick. Like other tick-borne illnesses, Powassan is most prevalent from late spring through mid-fall, when tick populations peak and outdoor activity increases.

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Public health experts warn that the virus’s transmission speed makes it uniquely dangerous.

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“One of the most dangerous aspects is its rapid transmission,” Dr. Jorge P. Parada, a medical advisor at the National Pest Management Association in Chicago, told Fox News Digital.

“Powassan can be transmitted in as little as 15 minutes after the infected tick bites, while Lyme disease usually requires a 36- to 48-hour attachment time for transmission.”

Powassan carries an incubation period of one to four weeks before symptoms manifest. (iStock)

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Parada noted that while Powassan remains rare compared to Lyme disease, it poses clinical concern.

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Dr. Marc Siegel, senior medical analyst for Fox News, confirmed that the virus transmits significantly faster than Lyme disease. He noted that Powassan carries an incubation period of one to four weeks before symptoms manifest.

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Initial symptoms include fever, headache, vomiting and weakness, though some infected individuals remain asymptomatic, according to the CDC.

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There are currently no specific medications or vaccines to treat or prevent Powassan virus. (iStock)

The virus can progress to severe neurological complications, including encephalitis (inflammation of the brain) and meningitis (inflammation of the spinal cord membranes).

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In severe cases, patients may experience confusion, loss of coordination, difficulty speaking and seizures, per the CDC.

“One of the most dangerous aspects of it is its rapid transmission.”

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Approximately 10% of Powassan cases involving severe neurological disease are fatal, and many survivors experience long-term neurological issues.

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There are currently no specific medications or vaccines to treat or prevent Powassan virus; clinical care is limited to supportive therapy, such as intravenous fluids and respiratory support.

While anyone can develop severe illness, those at the highest risk include children, older adults and immunocompromised individuals, experts caution.

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America’s lifespan has doubled since 1776 — experts reveal what changed

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America’s lifespan has doubled since 1776 — experts reveal what changed

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Americans today live roughly twice as long, on average, as they did when the Declaration of Independence was signed.

When the nation was founded in 1776, life expectancy was around 35 to 40 years old, historians estimate. However, someone who survived childhood in colonial America often lived into their 60s or even 70s.

Today, the average lifespan is about 79 years old, according to data from the Centers for Disease Control and Prevention.

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The improvement in lifespan over the centuries has been largely attributed to reduced deaths in infancy and from infectious diseases, multiple researchers have stated. Advances in sanitation, clean water, nutrition, vaccination and medical care have also contributed to lower mortality rates.

“Much of this vast discrepancy is related to the extremely high rates of infant, childhood and maternal mortality,” Dr. Omer Awan, physician and professor at the University of Maryland School of Medicine, told Fox News Digital.

Americans today live roughly twice as long, on average, as they did when the Declaration of Independence was signed. (Milan Markovic/iStock)

“Childbirth was dangerous, and without antibiotics and vaccines, many infectious diseases, such as measles, smallpox and pneumonia, were deadly,” he went on. “Now we have cleaner water and sanitation, vaccines and antibiotics that have significantly prolonged life.”

Advances in treatments of chronic diseases such as high blood pressure, cancer and diabetes have also significantly prolonged life, the Harvard-trained doctor noted.

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According to the CDC, improved prevention and treatment of high blood pressure has helped reduce deaths from heart disease and stroke, two of the nation’s leading causes of death.

Mia Kazanjian, MD, a Stanford-trained body and breast radiologist with an interest in longevity who is based in Greenwich, Connecticut, attributes the shorter life expectancy in the 1700s to suboptimal sanitation, poor hygiene and limited medical treatments.

Today, the average lifespan is about 79 years old, according to data from the Centers for Disease Control and Prevention. (iStock)

“Many babies and children died from infections like dysentery, diphtheria, scarlet fever and pneumonia,” she told Fox News Digital. Children who survived into adulthood often succumbed to infections like tuberculosis, cholera and typhoid fever.

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Maternal mortality has also fallen dramatically over the past century due to advances in antibiotics, blood transfusions and safer obstetric care, according to the CDC.

Milestones in public health

Kazanjian pointed to several key advancements over the centuries that contributed to longevity improvements, including the development of early municipal water systems that provided cleaner drinking sources.

“Sewer system networks were built, the first in Brooklyn in 1857,” she said. “These allowed people to drink clean water and dispose of waste. Indoor plumbing with toilets and bathrooms became more widespread.”

“Without antibiotics and vaccines, many infectious diseases, such as measles, smallpox and pneumonia, were deadly.”

At this time, people’s understanding of disease started to improve, and public health measures were developed to minimize risk.

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During the late 1800s, germ theory became widely accepted in medicine and public health, helping shape the Sanitary Era, the expert said.

COULD ‘HUMANMAXXING’ ACTUALLY HELP YOU LIVE LONGER? HERE’S WHAT EXPERTS SAY

“The Federal Quarantine Act of 1878 allowed the government to prevent spread of infection from out of the country, from epidemics like yellow fever,” she said. “Food safety regulations went into effect in 1906, when the Pure Food and Drug Act and Federal Meat Inspection Act were passed.”

By 1900, the average life expectancy was about 49 years old, according to the National Vitals Statistics Report.

Another major landmark in increasing lifespan came with the development of vaccines and antibiotics to prevent and treat disease, Kazanjian noted.

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One major landmark in increasing lifespan came with the development of vaccines and antibiotics to prevent and treat disease, experts say. (iStock)

“Jenner developed the smallpox vaccine in 1796, Pasteur created vaccines for rabies and anthrax in the 1880s, and several scientists created vaccines for polio, measles, influenza, mumps and rubella in the mid 1900s,” she said.

“Antibiotics proliferated in the 1940s, specifically penicillin and tetracycline. By 1950, the US life expectancy was about 68 years old.”

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From the mid-20th century to 2014, life expectancy continued to rise, Kazanjian said, largely due to “major gains” in medical knowledge of ways to prevent heart disease and stroke.

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Public health campaigns promoting smoking cessation also played a role, as declining smoking rates helped reduce deaths from lung cancer, heart disease and stroke, according to the CDC.

“Motor vehicles became safer and carseats became staples,” Kazanjian noted.

Modern longevity is more focused on preventing chronic disease and less about surviving childhood infections. (iStock)

According to the National Institutes of Health, advances in emergency medical services and trauma care have substantially reduced deaths after serious injuries.

Development of pharmaceuticals for cardiovascular disease and cancer also contributed to longer lives, according to Kazanjian.

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Today’s longevity challenges

Modern longevity is more focused on preventing chronic disease and less about surviving childhood infections, noted Nneoma Oparaji, MD, a triple board-certified media physician specializing in obesity, lifestyle and internal medicine.

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“The next frontier will be less about living longer, but more about living healthier longer,” Houston-based Oparaji told Fox News Digital.

Kazanjian pointed out that between 2014 and 2026, there has been a fall and a rise in lifespan.

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“The fall was due to young adult deaths from drug overdoses, particularly the opioid epidemic, suicides and alcohol-related deaths,” she told Fox News Digital.

The COVID-19 pandemic reduced U.S. life expectancy by more than two years between 2019 and 2021 before it began recovering, CDC data shows.

Advances in sanitation, clean water, nutrition, vaccination and medical care have contributed to lower mortality rates. (iStock)

Although U.S. life expectancy has rebounded since the pandemic, it remains below that of other high-income countries, largely because of higher death rates from chronic diseases, substance use and other preventable causes, according to KFF.

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Obesity rates also continue to climb, contributing to higher numbers of cardiovascular disease, diabetes and cancer, Kazanjian said.

“Most concerning is the rise in obesity in children,” she added.

“The next frontier will be less about living longer, but more about living healthier longer.”

Changing cancer trends are also affecting lifespan among younger adults, data shows.

“My generation, the millennials, has seen an unprecedented rise in young adult cancers, particularly colon and breast,” Kazanjian said, citing factors that include sedentary lifestyles, poor diet, alcohol, obesity and smoking, among others.

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The doctor said she aims to raise public health awareness of ways to improve lifespan.

“We need to get off our screens, move around more, eat a whole food, plant-based diet, sleep seven hours a night, do our screening exams, and avoid toxins like alcohol and cigarettes.”

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Could ‘humanmaxxing’ actually help you live longer? Here’s what experts say

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Could ‘humanmaxxing’ actually help you live longer? Here’s what experts say

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We are officially living in the “maxxing” era.

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From “looksmaxxing” to improve appearance to “sleepmaxxing” for better rest, these viral terms all point to the same goal: squeezing every ounce of potential out of a specific trait or habit.

With a growing focus on optimizing wellness and maximizing longevity, the trend has evolved into what’s known as “humanmaxxing,” sparking a bigger question: How far can people go to optimize the human body?

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While there is no single definition of humanmaxxing, the trend generally refers to efforts to optimize health, performance and longevity through a combination of lifestyle habits, health tracking, supplements and, in some cases, more experimental interventions.

While there is no single definition of humanmaxxing, the trend generally refers to efforts to optimize health, performance and longevity through a combination of lifestyle habits, health tracking, supplements and, in some cases, more experimental interventions. (iStock)

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For some, the movement begins with biohacking. According to Dave Asprey, a Texas-based wellness expert who refers to himself as the “father of biohacking,” optimizing your body starts with changing your environment.

Asprey has defined biohacking as “the art and science of changing the environment around you or inside you so that you have full control of your own biology.”

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His public advice focuses on boosting cellular energy through everyday choices like intermittent fasting, high-fat diets, red-light therapy and supplement routines.

“My goal right now is 180 years, because I’m doing something about it now instead of waiting,” he once said.

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Clinical experts warn that extreme self-experimentation skips the rigorous safety checks that typical medical science requires. (iStock)

Others have embraced a more data-driven approach. Tech entrepreneur Bryan Johnson, creator of the multimillion-dollar longevity project Blueprint in Los Angeles, argues that optimizing the body means removing human error from health decisions and instead relying on medical data.

“Methodically, we sought to build an algorithm with science and data that could better care for me than I can myself,” Johnson wrote on his website. “My mind did not have the authority to override the algorithm.”

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Johnson’s routine involves tracking hundreds of health metrics, eating a precisely measured diet, taking dozens of supplements, and undergoing advanced medical treatments in an effort to reduce his biological age.

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At the far end of the spectrum are those investing in technologies aimed at pushing the limits of human performance.

London-based tech investor Christian Angermayer recently described humanmaxxing as a strategy toward human maximization.

Tech entrepreneur Bryan Johnson, creator of the multimillion-dollar longevity project Blueprint, argues that optimizing the body means removing human error from health decisions and instead relying on medical data. (iStock)

“I don’t think we should become something different, because I think humans are awesome, but I think we can maximize the potential [that] is already in us,” he said in an interview with The New York Times.

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Angermayer’s investment firm, Apeiron Investment Group, focuses on technologies intended to help people “live longer, healthier and more fulfilling lives.” He also founded atai Life Sciences, a biotechnology company that develops psychedelic treatments for mental health conditions that are currently being evaluated in clinical trials.

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As interest in humanmaxxing grows, mainstream health experts urge consumers to separate evidence-based wellness practices from experimental interventions.

Public guidance from the National Institute on Aging notes that while some anti-aging therapies have shown promise in laboratory research, there is not yet sufficient evidence that they can safely extend human life.

As interest in humanmaxxing grows, mainstream health experts urge consumers to separate evidence-based wellness practices from experimental interventions. (iStock)

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Clinical experts also caution that extreme self-experimentation can bypass the rigorous safety standards applied to conventional medical treatments.

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According to the Endocrine Society, taking substances such as testosterone or growth hormone without a medical need can lead to serious health risks, including cardiovascular complications and long-term disruption of the body’s chemical balance.

While many humanmaxxing habits overlap with standard healthy lifestyle practices, experts say consumers should be cautious of expensive or experimental interventions that promise dramatic anti-aging or longevity benefits without strong scientific evidence.

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