Like its unlimited PIP coverage requirement, family and friend attendant care is a unique feature of Michigan’s no-fault system. Also like unlimited PIP coverage, there is no doubt that some people use this benefit appropriately and it’s the best solution for their particular needs. But it’s also important to remember that nearly every driver will never use this benefit, and yet are required to pay for it. Policymakers should either eliminate this as one of the benefits covered under mandatory PIP or make it an optional add-on that drivers can purchase if they want. Further, attendant care, like other medical provider billing, should be subject to a fee schedule or other cost control mechanism.