A geography of moral hazard: sources and sinks of motor-vehicle commuting externalities

Health Place. 2014 Sep:29:161-70. doi: 10.1016/j.healthplace.2014.07.008. Epub 2014 Aug 5.

Abstract

Motor-vehicles are responsible for harms to health that are not directly experienced by individual drivers - such as air pollution and risk of injury to pedestrians. In addition to their direct effects on health, these harms also represent a moral hazard since drivers are not required to consider their effects as part of their decision to drive. We describe an approach for estimating sources of motor-vehicle commuter externalities as a means of understanding the geography of moral hazard, and in particular, the spatial displacement of negative health externalities associated with motor-vehicle commuting. This approach models motor-vehicle commuter traffic flow by trip origin for small geographic areas within the City of Toronto, Ontario. We find that most health-related externalities associated with motor-vehicle commuters are not locally generated, with a large share coming from outside Toronto. Low income is associated with externalities originating outside the municipal boundary, but not with locally sourced externalities. We discuss the impact of geographical moral hazard on the agency of citizens as well as policy options aimed at addressing motor-vehicle externalities.

Keywords: Environmental externalities; Health inequality; Motor-vehicle commuting; Spatial justice.

MeSH terms

  • Biomedical Research
  • Cities
  • Environmental Exposure / adverse effects*
  • Environmental Monitoring / methods
  • Geography, Medical
  • Humans
  • Models, Theoretical
  • Motor Vehicles*
  • Ontario
  • Risk Assessment / methods
  • Transportation / statistics & numerical data*