- When you're tired, you can have a cup of coffee and wake up a bit and regain some of that focus. You can't drink a red bull and suddenly be way less high.
- If you send a text or two while driving, you're not paying attention to the road for a few moments (which is admittedly still crazy dangerous). If you drive stoned - you're driving less safely the entire time you're driving. The combination of the two is even worse.
- Having a heart condition doesn't mean you're going to necessarily have a heart attack every time you drive - there's just a higher risk that something might happen. Even in that case, you may be able to stop/pull over. Once again, if you drive stoned - you're driving less safely the entire time you're driving.
- You can have a backup pair of glasses, you can pull over, etc.
But my main point - just because there are other things that can make the already insanely dangerous activity of driving more risky, doesn't make driving high less bad.