The Dutch invest €595 million annually on urban biking, resulting in €19 BILLION saved in public health care costs alone. That’s how smart governments do the right math on investing in better mobility.

Let’s be clear — it wastes public money to NOT do it.

#CityMakingMath, hat tip to @modacitylife for their excellent books!

@BrentToderian @modacitylife I’ve seen you post this so often. It’s easy to dismiss but I’m honestly impressed with your commitment.
@BrentToderian @modacitylife
Thanks for the sharing, where did you get these numbers from? Would be helpful in any kind of conversation regarding prioritizing bike traffic!
@fenrok @BrentToderian @[email protected] I would also like to see a source. Current population 17.8 million. 19 Billion in savings seems a bit high. For solid research see https://urbancyclinginstitute.com
Urban Cycling Institute – Bringing Cycling Research from Science to Practice and Back

@fenrok @BrentToderian @modacitylife

Dutch Cycling: Quantifying the Health and Related Economic

Dr.s Fishman, Schepers, & Kamphuis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504332/#!po=2.77778

"Compared with the capital investments by all levels of Dutch government in road and parking infrastructure for cycling of almost €0.5 billion per year over the last decades,12 the annual benefits of €19 billion are much higher than the annual costs. "

Dutch Cycling: Quantifying the Health and Related Economic Benefits

The Netherlands is well known for their high bicycle use. We used the Health Economic Assessment Tool and life table calculations to quantify the population-level health benefits from Dutch cycling levels. Cycling prevents about 6500 deaths each year, ...

PubMed Central (PMC)

@dragonfrog @BrentToderian @modacitylife

Thanks a lot for the source!

"As a result of the mortality reduction of all age groups together, about 6500 deaths per year were prevented as a result of cycling in the Netherlands. With a value of a statistical life of €2.8 million per prevented death, the total economic health benefits of cycling were estimated at €19 billion per year."

I'm not competely satisfied.

Wouldn't it be more precise to argue with the loss of Healthy Life Years?

@dragonfrog @BrentToderian @modacitylife

These 19 Billion € are based on a "life's worth" but what has that to do with costs in the health system?

@fenrok @BrentToderian @modacitylife yeah that's the total estimated economic savings including, but not limited to, health system savings.
@dragonfrog @BrentToderian @modacitylife
For my understanding it's the opposite:
If someone dies, there are no health system cost left to threat the person.
So on my view there is no relation between an estimated life value and the health system costs.
Or did I miss something essential?
Thanks for the discussion!
@fenrok @BrentToderian @modacitylife mostly the benefit is from people being healthier throughout their lives, and therefore
- less expense from treating chronic health problems
- more economic activity from days worked (fewer sick days / early retirements due to disability)
@dragonfrog @BrentToderian @modacitylife
But the source being stated only multiplies the "life worth" with the sheer numbers of lifes saved.
So where is the health care benefit or in other terms the budget saved?
Just to clarify: I greatly agree with the idea of including the benefits for the society in the calculation for investments in bike infrastructure.
But the calculation seems a bit strange for me.
@fenrok @BrentToderian @modacitylife that's what these "life worth" numbers mean. It's an estimate of the overall economic impact of saving one life. It includes the average medical cost of a death, the cost of looking after the average number of orphans one person leaves behind, the hours of productive labour the average person does, etc.
@BrentToderian @modacitylife Would love to have sources for these numbers (i.e. for the €19bn - these won't be annually) to use in my regular "pro bike" arguments I have with fossil fuel addicts. TIA! 😀
Urban Cycling Institute – Bringing Cycling Research from Science to Practice and Back

@proscience @BrentToderian @modacitylife the € 0.6 billion investment and the €19 billion benefits are both annual.

Here's the study

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504332/#__ffn_sectitle

Dutch Cycling: Quantifying the Health and Related Economic Benefits

The Netherlands is well known for their high bicycle use. We used the Health Economic Assessment Tool and life table calculations to quantify the population-level health benefits from Dutch cycling levels. Cycling prevents about 6500 deaths each year, ...

PubMed Central (PMC)

@BrentToderian @modacitylife

Yes and Dutch public transport is all that public transport should be:
affordable, reliable and serving the community not the shareholders.

@BrentToderian @modacitylife Wouldn’t that be lovely! Roads like that would get me back on my bike all Summer.
Unfortunately though, whatever you build, the lycra brigade around where I live would ignore it.
@BrentToderian @modacitylife saw bicycles everywhere when we visited Amsterdam last summer. Lovely city
@BrentToderian @modacitylife So civilised, so forward thinking, so successful and modern.
@BrentToderian @modacitylife
The Dutch population is 17.5M, the US population is 331.9M. Assuming the same costs (which they aren't, because our healthcare treatment costs like-for-like are WAY higher) means $359B more in for-profit healthcare, meaning the investment class gets more money. Which is exactly what the system is supposed to do - make the wealthy even more wealthy. The problem isn't that we can't do the math, it's that our system has entirely different priorities.

@ScottSoCal @BrentToderian @modacitylife Yep, the key to understanding the U.S. system is that one person's "waste" is another person's profit. Well, a company's profit. The system is built around rent extraction, so why do something cheaply and efficiently when you can do it in a convoluted, expensive and wasteful way, i.e. an opportunity for corporations to profit?

From this perspective, the big disadvantage of #bikes and #publictransit is that they're too efficient and inexpensive.

@BrentToderian @modacitylife We spent a week in Amsterdam earlier this year and the amount of infrastructure dedicated to bicycles is absolutely amazing. Pedestrians are second (though you take your life in your hands trying to cross bike pathways). Cars are third.
@BrentToderian @[email protected] that’s style you will not see in German bike infrastructure. The German one is kept as bland as possible, as it is only an afterthought and no budget was left.

@BrentToderian @modacitylife
Would love to live in a country that invested this much in cycle infrastructure.
It’s not just the benefits over driving some people don’t drive. We recently ruled out moving house because there were no safe routes for my kids to cycle to school from the new location.

Also what’s going on in the last photo?

@[email protected] @BrentToderian image description: collage of images showing different bike paths from elevated roundabouts and glowing illuminated night paths to covered multilevel biking expressways.

@BrentToderian @modacitylife

To get more buy-in, for the US, it probably makes a lot of sense to present things in predominantly economic terms. Unfortunately.
Seems like there's more acceptance of one can use the "here's how gov't is gonna save money" angle.

@BrentToderian @modacitylife I love having $ numbers to compare. But here in Canada urban transportation is a local govt issue and (largely) funded by property taxes; health is provincial & federal issue, and funded out of prov and fed purses. How do we connect these, so that local tax-resistant voters/citizens understand benefits to their wallets (the same wallet for all levels of govt, of course, but not experienced that way).
@BrentToderian @modacitylife Tories: "But why would we spend tax payers' money on that, when we can, um, give it to our rich mates...?"