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Is it? Do you include everyone that’s died or lost a loved one due to personal automobiles in that assessment?

We are so far post automobile that it’s hard to compare, but many of the benefits are illusionary when you consider how society has evolved with them as commutes for example used to be shorter. Similarly the air used to be far cleaner and that’s after we got rid of leaded gas and required catalytic converters decades ago.

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How many people have lived or had a loved one saved due to automobiles?

We have the benefit of hindsight but we're also making judgment calls looking back on fuzzy recollections, forgetting just how the past used to be before an innovation came along.

I agree it’s difficult to do these calculations as society evolves with technology. Trains enable long distance evacuation from hurricanes. Street cars and subways allow for medical transportation but it looks very different than an ambulance. Similarly do we exclude helicopters assuming cars were simply banned rather than our failing to design IC engines or whatever.

That said, there are modern enclaves without cars mostly on islands or in very remote locations. They make due just fine without cars, it’s the low population density that’s at issue for medical care.

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