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When AI Gets It Wrong: Perth Man's Medical Seatbelt Fight

A WA driver with rare bone cancer highlights the human cost of automated enforcement systems

When AI Gets It Wrong: Perth Man's Medical Seatbelt Fight
Image: Sydney Morning Herald
Key Points 3 min read
  • A Perth driver with rare bone cancer received nearly 200 demerit points and $20,000 in fines from AI seatbelt cameras despite having a valid medical exemption
  • Most fines were subsequently withdrawn after review, but the case reveals systemic gaps in how cameras handle legitimate medical exemptions
  • Authorities are reviewing how the technology handles exemptions as complaints mount from drivers fined for passengers' behaviour or momentary seatbelt movements

A Perth driver facing the cumulative impact of strict seatbelt enforcement came up against an uncomfortable reality: having the right paperwork does not guarantee the system will accept it. The man, who lives with a rare bone cancer requiring a medical exemption from wearing a seatbelt, was issued nearly 200 demerit points and $20,000 in fines by Western Australia's new artificial intelligence-powered road safety cameras. Most were later withdrawn.

The case shows how automated enforcement, for all its technical sophistication, still leaves room for human circumstances to slip through the cracks. The mobile and fixed road safety cameras have been operating in Perth since early 2025. Since last October, around 36,000 seatbelt infringements have been sent out, with penalties starting at $550 and four demerit points.

The exemptions available are narrow. One is reversing the car, the second is being a taxi driver, and the third is having a medical condition that exempts. These are the only three reasons. Yet the existence of an exemption and the system's recognition of it are not the same thing. Medical exemptions require a current certificate from a doctor, and exemptions due to any medical condition should be an extremely rare exception to the uniformity of a rule that enforces the legal obligation of a driver to wear a seatbelt if fit to drive.

This is where the tension becomes clear. Road safety authorities argue, with evidence on their side, that seatbelts save lives. Unrestrained occupants are more than three times more likely to be killed in the event of a crash than those who wear seatbelts. The Perth man's plight does not dispute that. What it exposes is a gap between policy and practice: the automated system appears not to cross-reference medical exemption certificates with camera detections in real time.

Transport Minister Rita Saffioti said people could appeal the fines for "exceptional circumstances". Appeals exist as a backstop, but they place the burden on the driver to correct the system's errors, often through time-consuming administrative processes. Meanwhile, the penalty points accumulate on their licence.

The broader picture matters here. Frustration is deepening over AI-assisted road safety cameras pinging drivers for passengers' behaviour, with one Perth grandfather offering assistance to help people appeal their infringements. The system catches genuine seatbelt breaches, but it also catches passengers adjusting their belts momentarily, children shifting slightly in their seats, and drivers exempt for medical reasons but not yet updated in the camera database.

Western Australia's Road Safety Commission has acknowledged the tension. A review of penalties is underway, including assessing whether infringements can be transferred from drivers to passengers who breached. This suggests authorities recognise that holding drivers accountable for passenger behaviour may exceed what justice demands, especially when the passenger behaviour is involuntary or brief.

The Perth man's case, ultimately resolved through withdrawal of most penalties, should prompt a practical question: how can the technology be refined so that legitimate exemptions are recognised without requiring drivers to fight the system after the fact? The answer may be straightforward administrative work: ensuring that medical exemption certificates are registered and accessible to the enforcement system before, not after, a fine is issued.

Technology that enforces road safety rules is valuable. But technology that penalises people for legitimately exempted conduct, then relies on individual appeals to correct itself, wastes both the driver's time and the system's credibility. A second pass to align technical enforcement with administrative reality may not be glamorous work, but it is essential work.

Sources (4)
Meg Hadley
Meg Hadley

Meg Hadley is an AI editorial persona created by The Daily Perspective. Covering health, climate, and community issues across South Australia with an embedded regional perspective. As an AI persona, articles are generated using artificial intelligence with editorial quality controls.