causing higher crash rates among new drivers. New Jersey has the same requirements for new drivers up to the age of 21, which may obviate this problem. Medical conditions According to a study published in 2017 in the Mayo Clinic Proceedings, although most drivers with medical conditions were safe drivers, drivers with psychiatric conditions or substance abuse were particularly at higher risks of unsafe driving. The study also reported that drivers with neurological conditions were the majority of the entire study population (Belgium) who were referred for a driving evaluation, but they were not the most unsafe drivers. Elderly Insurance statistics in the United States indicate a 30% increase in the number of elderly killed, comparing 1975 to 2000. Several states require additional testing for elderly drivers. On a per-driver basis, the number of fatal and overall crashes decreases with age, with some exceptions for drivers over 75. The overall trend may be due to greater experience and avoiding driving in adverse conditions. However, on a per-miles-travelled basis, drivers younger than 25-30 and older than 65-70 have significantly higher crash rates. Survivability of crashes decreases monotonically with the age of the victim. A common problem for the elderly is the question of when a medical condition or biological aging presents a serious enough problem that one should stop driving. In some cases, this means giving up some personal independence, but in urban areas often means relying more on public transportation. Many transit systems offer discounted fares to seniors, and some local governments run "senior shuttles" specifically targeted at this demographic. Vehicle programs While it is usually considered that the driver has the responsibility when collisions occur, vehicle can also contribute to collisions, up to 3% to 5% of crashes. Two kinds of programs exist: new car assessment program for new cars, and vehicle inspections for other ones. NCAP A New Car Assessment Program is a government or institutional car safety program tasked with evaluating new car designs for performance against various safety threats. Two well known NCAP are United States New Car Assessment Program since 1978 and European New Car Assessment Programme since 1997. Legal vehicle inspections Vehicle inspection is a procedure mandated by national or subnational governments in many countries, in which a vehicle is inspected to ensure that it conforms to regulations governing safety, emissions, or both. Inspection can be required at various times, e.g., periodically or on