Call the Health Department, Not the Cops

Marblehead's 75 Years Behind Schedule

August 15, 2025
James galante memorial on marblehead causeway 1647720221

Every­one is using your street to bypass the traf­fic jams on Pleas­ant or the drop off traf­fic at Vil­lage is a night­mare. You’re scared to let your kids play street hock­ey or even bike around the neigh­bor­hood. Who ya gonna call?

If you’re in Mar­ble­head, you’re going to call the cops. That’s because it’s not the cars caus­ing the prob­lem, it’s the dri­vers. They’re either on their phones, in too much of a hur­ry, or just plain stu­pid. If the cops would only enforce the law… prob­lem solved.

That’s old fash­ioned think­ing. Through the first half cen­tu­ry of the auto­mo­bile age, automak­ers con­vinced the pub­lic that their prod­ucts were per­fect­ly safe if oper­at­ed cor­rect­ly. If they were unsafe, it was because the nut behind the wheel” was dis­obey­ing the law or men­tal­ly unfit for the task.

Then, about 75 years ago, Daniel Patrick Moyni­han wrote Epi­dem­ic on the High­ways. Traf­fic casu­al­ties should be treat­ed as a pub­lic health, not a polic­ing prob­lem, he wrote:

Admon­ish­ing indi­vid­u­als to dri­ve care­ful­ly seems a lit­tle bit like try­ing to stop a typhoid epi­dem­ic by urg­ing each fam­i­ly to boil its own drink­ing water and not eat oys­ters; that may help, of course, but why not try vac­ci­na­tions, set­ting stan­dards of clean­li­ness for food han­dlers, and puri­fy­ing every­body’s drink­ing water in the reservoirs?”

Moyni­han was not alone but part of a grow­ing move­ment to reimag­ine traf­fic safe­ty. His fel­low trav­el­ers includ­ed William Had­don, the first head of what became the Nation­al High­way Traf­fic Safe­ty Admin­is­tra­tion, and Ralph Nad­er, a cru­sad­ing lawyer whose book Unsafe at Any Speed and con­gres­sion­al tes­ti­mo­ny gave us seat belts, air bags, and, over time, a new par­a­digm in traf­fic safe­ty. It was one of the great silent vic­to­ries” in pub­lic health.

Why then don’t Mar­ble­head­ers call Andrew Per­ry, Direc­tor of Pub­lic Health, when they want action? Because con­tin­u­ing to treat traf­fic safe­ty as a prob­lem of polic­ing human behav­ior val­i­dates polic­ing. As legal his­to­ri­an Sarah Seo explains in Polic­ing the Open Road, we have come to accept — and even expect — per­va­sive police pow­er thanks to the auto­mo­bile. Nev­er mind that traf­fic polic­ing has only a lim­it­ed and tran­sient impact on road deaths. Nev­er mind that tech­nol­o­gy can elim­i­nate the haz­ards of mobile phone use, dri­ving under the influ­ence, and exces­sive speed — with­out the need for con­stant surveillance.

The rate of traf­fic deaths has plum­met­ed over the last half cen­tu­ry because vehi­cles have become immea­sur­ably safer for those inside the car. But pedes­tri­an deaths reached a 40-year high in 2022 and con­tin­ue to rise. Pro­tect­ing these vul­ner­a­ble road users is the next fron­tier in traf­fic safety.

A pub­lic health approach directs us to reduce expo­sure by enabling alter­na­tives to dri­ving. A pub­lic health approach directs us to build an infra­struc­ture that reduces the threat posed by motor vehi­cles to vul­ner­a­ble road users. A pub­lic health approach val­ues active mobil­i­ty and its atten­dant con­tri­bu­tion to health and well being. Actu­al­ly solv­ing the prob­lem of traf­fic deaths, how­ev­er, would leave peace offi­cers gaz­ing for­lorn­ly at their phones and wait­ing for them to ring.