MADD has helped save an estimated 300,000 lives since its founding in 1980, and today claims 2 million members. But MADD President Glynn Birch worries: "The nation has become complacent. Back in the early '80s we had this grassroots organization that was flaring up. This was a voice you had to listen to."

Some Americans no longer see drunk driving as a serious problem; public attention also has been drawn away by issues like terrorism. "There are so many different things out there that we are in competition with," said Birch. Adds former MADD President Wendy Hamilton: "People think the problem's been solved, so they've not paid attention."

MADD founder Candy Lightner, who is no longer affiliated with the group, says MADD has lost its focus on its core issue: drunk driving. "You don't hear about it any more -- you don't hear the victims' stories any more," Lightner said. The alcohol industry accuses the group of being prohibitionists.

Still, MADD retains power in the halls of Congress, advocating on issues like underage drinking and lowering the legal alcohol limit for drivers. "These folks have a passion for what they do, and they have the personal experience of having lost loved ones," said Sen. Elizabeth Dole (R-N.C.).

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