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Helmets are beneficial in preventing head injury, as non-helmeted motorcyclists are more likely to experience traumatic brain injury (TBI) compared to those wearing helmets [5].Median hospital costs for motorcyclists with TBI are 13 times greater than those without TBI [5], and severe TBI patients average 55 days of acute rehabilitation [6].Furthermore, helmets reduce the risk of head injury in motorcycle riders by 69 % [15].In 2010 alone, an estimated 1550 motorcycle-related fatalities were prevented by helmet use and 706 more lives could have been saved if all motorcyclists had worn helmets [4].Helmet use on motorcycles fits squarely within the purview of the federal government public health and economic considerations.

Although statewide universal motorcycle helmet laws effectively increase helmet use [1], most state helmet laws do not require every motorcycle rider to wear a helmet.

An important consideration in this major public health issue is that the cost of medical care for motorcycle crash patients is largely transferred to society.

The majority of motorcycle crash victims’ medical care is paid for by public funds [13], as non-helmeted motorcyclists are more likely to be covered by government-funded health insurance or have no health insurance at all compared to helmeted motorcyclists [14].

Helmets prevent fatalities and can reduce the number and severity of head injuries [1, 2].

After implementation of the California statewide universal motorcycle helmet law, fatalities decreased by 37.5 % [2].

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