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I think this policy is only feasible in cities with decent public transportation. I’d struggle to list any more than 1-2 other American cities where this could be done though.

A lot of cities that do have public transportation seem to have extremely frustrating (i.e. multiple transfers) gaps if you aren’t using the system to-and-from work.

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Again, public transport is usually not feasible if you have a severe medical condition.

Agreed. I think this is one area I’d hope to see exceptions for on any implementation.

I can’t attest to how fair of a process this is, but MTA seems to be giving medical exceptions some lip service:

https://new.mta.info/tolls/congestion-relief-zone/discounts-...

It’s also only feasible if actions like this congestion charge are taken to tilt the scales. Most people would not use public transit if they could avoid it. When there is enough road infrastructure to match the density, private transit is preferred because you can drive directly to your destination, not have public safety issues like on the subway, haul cargo, and do it all quickly. The only way to make public transit attractive is to artificially and maliciously mismanage things to make driving cars slow and expensive. Which frankly is hostile towards people.

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