Old pilots.
ONLY because I'm an 'old' pilot did I find out that I had a problem - 'cos my age demanded an additional exercise ECG to renew my licence.
The problem was attended to and my licence re-issued, albeit with some restrictions - better than the alternative !
How many guys hurtling down the road towards you even know that they have a problem before they die and slam into you ?
Keep RENO to the facts as known.
On another site I've read a suggestion that the RENO accident was a deliberate Terrorist Attack. The "Darwin Awards" clearly aren't working.