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People in rural areas tend not to wear their belts as often and have older vehicles.

Susan Ferguson

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I think the reason graduated licensing works is because you're not changing behavior, but changing conditions under which they (teens) can drive.
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You can get clusters. It does seem to be a big jump, but I'd anticipate that the next year it would be lower.
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From the beginning of time, the key has been driver behavior. You can have all the skills in the world, but it is how you choose to drive that is going to make a difference.
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More rural states tend to have higher fatalities.
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As a nation of drivers, we've made little progress in the past 10 years to curb some of the most dangerous driving behaviors, including drinking and driving and speeding.
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