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Big fast moving vehicles, shitty roads, very basic driver’s ed, speed limits that are too low to be realistic so they are poorly enforced, drinking and driving is common.

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Don't forget the big one: phones. So many people here drive with their phone in their hand.

And so many pedestrians walk with their face in their phones.

Other countries saw the same uptick in smartphones without the same huge uptick in pedestrian deaths, though. In charts:

https://streets.mn/2020/10/14/chart-of-the-day-pedestrian-fa...

https://cityobservatory.org/why-are-us-drivers-killing-so-ma...

My guess would be that drivers in other countries are less likely to use their phones while driving, but I don't have any data to back that up

German here living on the US. This matches my observation. I believe this is because of enforcement. It seems extremely rare to be fined for using the phone while driving in the US (LA at least), while it's common in Germany.

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