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Why one trauma doctor sees self-driving cars as a ‘public health breakthrough’ : NPR

by Matt Ozug
December 13, 2025
in Health
Reading Time: 4 mins read
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NPR’s Ailsa Chang speaks to Dr. Jonathan Slotkin concerning the new information launched by Waymo about accidents and their self-driving automobiles.



AILSA CHANG, HOST:

Dr. Jonathan Slotkin had witnessed this scene too many occasions on the trauma middle the place he works.

JONATHAN SLOTKIN: They’re wheeling in a youngster, and this one’s been ejected by a windshield and located 30 toes away, face down within the grime, and all of us acknowledge there’s nothing we are able to do. And so I am pondering to myself, how will we let the equal of 1 airplane full of individuals, greater than 100 lives, be misplaced each single day as the price of driving? If this was a illness, we might have declared warfare.

CHANG: And proper round this time, Slotkin had been taking a look at information launched by the driverless automobile firm Waymo. This was its so-called 100-million-mile information set.

SLOTKIN: And I checked out this information and mentioned, God, this nearly seems to be too good to be true. If we pursue this proper, in my view, we face the opportunity of truly eliminating automobile accidents as a number one explanation for demise in america.

CHANG: Slotkin described this epiphany in an op-ed for The New York Occasions, writing, quote, “whereas many see this as a tech story, I view it as a public well being breakthrough.” Dr. Jonathan Slotkin, welcome.

SLOTKIN: Thanks for having me, Ailsa.

CHANG: So that you wrote that this Waymo visitors accident information led you to conclude that autonomous autos may very well be a public well being breakthrough. What did the info present precisely that convinces you of this?

SLOTKIN: What I noticed was that we had higher than a 90% discount in probably the most severe kinds of crashes that we see. So these are pedestrians struck, T-bones in intersections, that are among the worst accidents we see within the trauma bay. So it actually seems to be like, Ailsa, that if we pursue this proper now going ahead, we might remove automobile accidents as a number one explanation for demise in america.

CHANG: OK. But when we’re speaking about security, there have been current stories of Waymos driving fairly aggressively, like making unlawful U-turns, neglecting flip alerts, illegally passing stopped college buses. And simply final week, personally, a Waymo reduce me off in transferring visitors proper right here in LA. And also you even talked about in your op-ed just a few fatalities. So should not any of that be a trigger for concern?

SLOTKIN: Effectively, positive. Let me level out for those who did not learn it, these fatalities have been each not the fault of the Waymo, OK? And there was one severe damage as effectively that was additionally not the fault of the Waymo driver. However definitely, these are questions we have now to ask, they usually’re all truthful questions. The college bus factor, that is severe. We won’t have this stuff passing college buses. And what I perceive is that they recognized a spot the place the automobiles have been getting confused, they usually issued a recall to replace…

CHANG: Precisely.

SLOTKIN: …The software program. However I believe let’s take a look at the choice. The choice is human drivers illegally passing college buses a whole lot of 1000’s of occasions a yr as a result of they’re impatient. And right here we have now a robotic that makes a mistake, and it may be quickly remedied with a software program replace. So I believe we settle for people being reckless as the value of mobility, however we would like the robots to be good. And someplace within the center there, I believe, Ailsa, is the place we should always land.

CHANG: I believe, for me, any kind of lingering discomfort I’ve with autonomous autos is simply this inherent belief I’ve in human supervision. Like, I need a human to have the ability to intervene in probably dangerous conditions. Is that illogical?

SLOTKIN: It is a pure human tendency, I believe, to be afraid of the issues we understand we will not management, and we run into that in well being care lots. This I-can-drive-after-two-drinks factor some folks have – effectively, that is the notion of management, however I am afraid of the robotic that really is statistically higher than me, however as a result of I am unable to management it. And I believe, for me, that is the place the info must begin to take us and say, effectively, look, that is truly higher.

CHANG: Effectively, let me ask you this. Self-driving automobiles are nonetheless a fairly slim minority of automobiles on the highway, even in cities like LA, the place I’m, the place these automobiles appear to be in every single place. So in need of full adoption, is there really a public well being profit to having even just some self-driving automobiles on the highway?

SLOTKIN: Yeah, so this will get to an fascinating query, and nobody truly is aware of the whole reply, however there may be some revealed information that exhibits that as these scale, definitely early within the adoption, you could get disproportionate advantages even relative to how a lot has been adopted. So let’s make up a quantity and say, we might have 30% adoption however truly lower fatalities by 40%. And that will get to issues like community results.

And, Ailsa, we’ve not even scratched the floor actually on hive conduct between these autos the place they start speaking to one another in an elevated method. They relay issues about security challenges forward they usually behave higher round one another. So there may be proof that even early within the adoption curve, we’ll see security advantages.

CHANG: Dr. Jonathan Slotkin, thanks very a lot, and glad driving to you.

SLOTKIN: Thanks, Ailsa. Thanks for having me.

CHANG: And we reached out to Waymo concerning the highway security violations talked about on this story. The corporate responded in a written assertion that mentioned, partially, security is key to all the things that we do. The information exhibits we’re enhancing highway security within the communities wherein we function.

(SOUNDBITE OF MUSIC)

Copyright © 2025 NPR. All rights reserved. Go to our web site phrases of use and permissions pages at www.npr.org for additional data.

Accuracy and availability of NPR transcripts could differ. Transcript textual content could also be revised to appropriate errors or match updates to audio. Audio on npr.org could also be edited after its authentic broadcast or publication. The authoritative report of NPR’s programming is the audio report.



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