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It is as dangerous as:
Reading books
Reading newspapers
Reading documents in a folder
Fixing make-up
Filing nails
Etc. etc.
And yes I have seen people doing all the above while driving.
It does not surprise me that, here in the US in spite of those pathetic speed limits, there are as many fatalities as in Germany where Autobahn have long segments that do not have any and you can drive at 150 Mph and more.
Instead of spending millions in useless studies like this teach people how to drive and improve quality of the roads; things will change.
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