Somehow we can imagine a world with low-pressure hyperloops and self-driving electric car swarms, but our creativity with bikes ends with 2 wheels and a rod ? Bikes are about space and ease first. At its very core, a bike is a small & slow people mover on wheels. That's it.
Disabled -> Electric wheelchairs are basically bike already [1]
Have things -> Delivery bikes [2]
Old people -> Yep, the ones that absolutely should not be driving? Old people use electrified bikes just fine in walmarts around the country. Same applies for obese people. [3]
Electric bikes of different shapes and sizes are completely redefining the usability of a bike. Most importantly, bikes are the last piece of a public transportation puzzle. They solve many of the last mile problems and force urban planning to be dense and walkable. This provides many additional benefits for accessibility. Walkable/ transit-based areas allow vision impaired people to independent. Bikes lead to many more smooth ramps that naturally accommodate movement impaired folks on wheels.
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> Society is not a blank slate, and we don't get to start over from scratch
Given that America literally destroyed cities and moved mountains to make the car-centric cities that we have today, your statement is demonstrably untrue. Le Corbusier's Paris almost happened and
America's biggest problems today are aging & crumbling infrastructure (owing to unsustainable building [4]) and low supply of housing. The nation is overdue for new economically-sustainable infrastructure and needs more space for housing. Guess what the most natural solution is ? -> Densification. (infrastructure costs shared over more people, allows for more housing when space is at a premium) Biking comes out as a natural side-effect of dense spaces.
It is also a little ironic that you name lack of accessibility, safety & obesity as big problems, without realizing how cars have been at the center of facilitating that very problem.
> aren't going to rebuild our cities around bikes
No one is asking for this straw man. The goal is to integrate into the existing fabric of cities. Building bike infrastructure has shown to reduce traffic and make it easier for those who NEED cars to continue using them. Bike infrastructure is the cheapest of all major forms of transportation infrastructure.
The fact that cities as dense as NYC have pathetic biking infrastructure is a testament to just how far behind America is on accommodating humans within its cities. We aren't talking about rebuilding Phoenix. This is about making biking a viable option for the densest of American cities.
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[1] https://image.made-in-china.com/155f0j00JvfYuGpRmTbU/New-Mod...
[2] https://ferlabikes.com/delivery-cargo-bikes
[3] https://cdn.shopify.com/s/files/1/0026/0030/4684/products/im...
[4] https://www.youtube.com/watch?v=7IsMeKl-Sv0