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Fuck Cars
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They really do need a road diet, and part of the way to get there is for a fire truck diet as well, which might need some regulations to be changed, like NFPA (National Fire Protection Association) codes and regulations
Not Just Bikes did a video on this too, titled "How American Fire Departments are Getting People Killed"
Currently they need custom chassis, over-spec'd horsepower, valves, do-everything mission kind of truck, whereas in Europe or Japan or Hong Kong, you'll see standardized, compact, cheaper, safer commercial chassis that still carry the same equipment and equally tall ladders for the job
Some cities, fire departments can also veto street redesigns and developments, because they need to fit their oversized truck in the streets, so to get there, we need to get fire departments on board and gradually replace their fleet as they retire older trucks, as it might be cost prohibitive to do it all at once
Interestinging topic, personaly I have only ever heard bus operators and transit agencies being opposed to any street redesigns that are marketed as a proposal to improving street safety, especially if the street redesign includes people that don't drive.
For example installation of a raise crosswalk or a raised crossway receives immediate push back in my community by the bus driver and transit agency.
Even though a raised crosswalk and crossways has direct benefits to drivers, such as being able to see pedestrians and children more clearly when crossing. And don't get me started on center pedestrian islands at crosswalks and crossway and the inclusion of bumpouts that prevent drivers from behind overtaken dangerously at a crosswalk and crossways.
Bumpouts are also a great way for a driver to see a pedestrians intent to cross prior to the pedestrian reaching the roadway as well, which allowed traffic to flow more predictably.
The area I live in we had a residential intersection upgraded to something like in the image below. Its great (not perfect) by great IMO, but i still see people in their large emotional support pickup trucks mounting the new curb and driving directly over the new bumpouts like some type of statement against better infrastructure.