Many older drivers have excellent skills and the safety records to prove it. But health conditions, medications and the normal changes associated with aging - diminished vision, hearing, strength and cognitive ability - can make driving more difficult and more risky.

As the ability to drive diminishes, the car stops functioning well as a mode of transportation. While the car as a symbol of independence remains, symbols don't get you to the market or the doctor. A good alternative gives older drivers the independence they had when they were driving a car.

So what are the options for safe mobility?

• ITNAmerica: The Independent Transportation Network® offers rides in private automobiles, 24/7 to seniors and people with vision problems. ITNAmerica is based in Portland, Maine, with affiliates now in 10 communities across the country.
• Public Transportation: An option for those able to use it where it is available. An easy choice for those living in cities. Unfortunately, more than half the country's over-65 population lives in a community with no public transit.
• Volunteer Services: Your local Area Agency on Aging can tell you if there are volunteer services in your community. Taxi Cabs: Sometimes an individual can work out a special relationship with a taxi service.
• Family & Friends: A relative, neighbor, friend or home healthcare worker can provide transportation using their own car, or using the older driver's car.

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