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Doesn't this only work if there's consensus on these dollar values?There's not a single global dollar value for a life; a value can be established in context of some specific things, and then there is consensus pretty much by definition.
The whole point here is to make safety measures comparable to other important expenses. You can't say whether they're more or less important without a common base of comparison, and you can't run the budget assuming a life has infinite value, because then you'll have zero funds for anything. So, when you do a consideration like: a marginal extra bollard costs $10k, and saves one life per year, how many more bollards should we fund from our finite budget, where this money would otherwise go to fund schools or social programs? If you say "all of them", then you won't have schools.
That same life may have different value when different tradeoffs are considered, e.g. when discussing automotive safety (see the infamous case of recalls), or ordering evacuation of a city (you need to compare lives saved from a probable calamity vs. total destruction of local economy), etc.
And on a more general point, there is no single fixed thing as "monetary value" of a thing. The price is always a consensus of market forces, a measurement of a dynamic system. The value of your house may be $4M if you're selling now, or $1M if you want to sell it right right now, or just $0 if you literally can't find a buyer for it. Fixed price is an illusion.