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Keith Vodden Dr. Douglas Smith - Transports Canada

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Analysis and Estimation of the Social Cost of Motor Vehicle Collisions in Ontario<br />

• Hospital/health care as a proportion of total costs declined from 1.4% to 1.3%<br />

between 1990 and 2004. As noted earlier injuries have declined by 11% over this<br />

period. As well injuries requiring a hospital stay decline most (down 44% as a<br />

proportion of all injuries). As a result there has been a shift in the severity of<br />

injuries away from the most costly injuries as may be reflected in our estimate.<br />

• Police, fire, and ambulance costs have increased in the current estimate. This may<br />

be due to better data related to the use of these services and estimates of the costs<br />

per use in the current model. Also costs related to fire departments which show<br />

the largest gains from 0.1% to 0.9% between 1990 and 2004 likely reflect a much<br />

greater use of fire services in motor vehicle collisions in the second period.<br />

• The proportion of costs devoted to tow trucks has increased from 0.2% to 1.0%<br />

likely due to changes in the industry identified in the current study.<br />

Inclusion of the previously unmeasured cost of traffic delays and court<br />

proceedings increases the social costs estimated in 2004. However, the biggest change<br />

between the model results for 2004 compared to 1990 is the adoption of higher values for<br />

human consequences using the medium scenario willingness to pay estimate. This<br />

follows a general trend toward the assignment of higher values to human consequences in<br />

the relevant literature (See Trawen et al. (2002), “International Comparison of Costs of a<br />

Fatal Casualty of Road Accidents in 1990 and 1999”, Accident Analysis and Prevention,<br />

v. 34). We also include a high estimate that overcomes previous deficiencies in the<br />

willingness to pay approach that tended to depress the values assigned to human<br />

consequences. Although the existence of this bias is widely recognized, the Gunderson<br />

and Hyatt study is the first and to our knowledge only study to adjust for it. We include<br />

their estimate as our high scenario related to the social value of human consequences.<br />

Given the absence of further discussion in the economics literature related to this study,<br />

we use the more conservative medium scenario as the base for our estimates. (In<br />

reporting of the results of other models we use the medium scenario willingness to pay<br />

approach although the analyst has the option to use any of the methods to valuing human<br />

consequences.)<br />

E. COMPARISON OF 2004 ESTIMATE WITH ESTIMATES AVAILABLE<br />

THROUGH SMARTRISK<br />

SMARTRISK is a Canadian non-profit organization dedicated to preventing<br />

injuries and saving lives. The organization provides information related to everyday risks<br />

to allow people to make more informed choices related to the activities they engage in.<br />

We estimate the cost of health care (including hospital and medical professional<br />

care) related to motor vehicle collisions at $122.9 million in 2004. A comparable estimate<br />

of the direct cost (including hospital care, physician services, prescription drugs and<br />

home modifications or vocational rehabilitation) of Ontario motor vehicle collisions is<br />

52 TNS Canadian Facts, Social and Policy Research

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