Yet even though "alcohol-locks" have been mature tech for five years, no car manufacturer nor politician dares to make it default, simply because there would be public outrage.
Also, stuff like brake pads or tires completely worn down already comes with basic safety features: both will cause the car to make relatively loud, screeching/rumbling ominous noises.
Or you could do near-infrared spectroscopy built into the gear lever (this is already being pushed by the NHTSA, and will probably be in cars in a few years).
Or it could even have a selective alcohol-lock using current-gen tech that only triggers a check if alcohol is detected in the air circulating in the car.
Mandatory adherence to the OEM's maintenance schedule (and every appointment dealer-only!) is every car maker's dream.
Low tire pressure? Breaks not operating outside of acceptable parameters? Tires behaving strangely? It's manual or nothing at that point.
Incidents of that sort with a human driver are easily explained. If that happened with a self-piloting car it could scare people off the very idea.
The cars should have some kind of basic self-preservation tests.