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While I don't doubt there are shortcomings in the US's road safety regulatory regime, That's probably not a fair comparison.

I strongly suspect that on both a trip-miles and passenger-miles basis, the US far outstrips any european country.

*edit

If you sort that table on 'road fatalities per billion vehicle KM' you'll see the US at 7.3, same as Belgium. The UK is doing better at 3.4

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I'd argue it's entirely fair. The fact that people in the US spend a lot more time in the car is part of the problem.

Fatalities per distance is fine for a technical comparison of road safety regulations.

Fatalities per population is more useful when comparing the safety of roads as they are used.

US spends more time in the car because of lower population density than Europe. UK is the size of Colorado yet has 10x the population, so of course they will drive less.

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