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> Of course we can play GTA with just vision, but I'd argue the average person crashes in GTA more than they do in a real car.

I’m fairly certain that people would drive more safely in GTA if their life was literally at stake.

I once barely survived a ride with a taxi driver in Tijuana who claimed to have learned to drive playing GTA. Based on his real-world driving it seemed plausible although We did not have to visit a spray’n’pay at any point. I never got to seem him play GTA so I can’t verify or refute your hypothesis.

Aren't the eyes basically always focused at infinity while driving?

That's due to the small viewing window, controller, and physics of GTA. In proper simulators with steering wheels and big screens they do fine.