Skip to Content
Streetsblog New York City home
Streetsblog New York City home
Log In
Streetsblog

Our Car-Based Environments Are Making Us Sick

Behind some of America's most pressing health problems -- obesity, diabetes, depression -- there's an often ignored culprit: a built environment that is hostile to active lifestyles.

As the U.S. medical industry pours billions into treating epidemic diseases, it is merely addressing the symptoms of "deep-rooted structural issues" while neglecting the underlying causes, says Dr. Richard Jackson, chair of the School of Health at UCLA and former head of the National Center for Environmental Health at the Centers for Disease Control. Dr. Jackson -- one of the leading voices on the role of the built environment in America's public health crises -- confronted car dependence this weekend at the annual meeting of the American Society of Landscape Architects.

As reported by ASLA's The Dirt blog, Dr. Jackson outlined the problem like so:

false

Obesity is a “common cause epidemic,” and a related health impact, diabetes, is now a “crushing health crisis,” driven in large part by the sedentary, car-based lives we are leading. Sprawl, in effect, kills.

Less density equals more driving. “We are engineering exercise out of people’s lives” by creating suburban cul-de-sacs and putting places of work and living far from each other.

Instead of addressing the public health impacts of the absence of trees, low-albedo streets (which contribute to the urban heat island effect), as well as a lack of planning, public transit, or safe streets, we are instead “looking at the end of the pipeline,” the medical effects. Our environment is sending us a message: “We are appendages to our cars.”

Dr. Jackson is a proponent of "designing for well being." On a local level, that might entail developing organic food gardens at schools and hospitals. At the national level, he argues for investment in public transit, bicycle infrastructure and safe routes to school.

Also on the Network today: Sprawled Out takes a look at a study which found that light-rail riders in Charlotte, North Carolina were 6.5 pounds lighter than their car-dependent counterparts. Greater Greater Washington uses Arlington, Virginia as an example of the importance of political will and public education in smart growth efforts. M-Bike.org encourages Michigan residents to lobby in favor of median-running light rail for Detroit, as opposed to curb-running rail, which could be off-putting to cyclists.

Stay in touch

Sign up for our free newsletter

More from Streetsblog New York City

FLASHBACK: What Happened To Car-Free ‘Snow Routes’ — And Could They Have Helped City Clear the Streets?

Remember those bright red signs that banned parking from snow emergency routes? Here is the curious story of how New York City abandoned a key component of its snow removal system.

February 6, 2026

Council Transportation Chair Vows To Take On Drivers: ‘I Don’t Want To Just Futz Around the Edges’

Streetsblog grilled new chairman Shaun Abreu, who says he wants to bring more life and fewer cars to the street.

February 6, 2026

Friday’s Headlines: New York’s Strongest Edition

It's still snow problem around town. Plus other news.

February 6, 2026

Budget Crunch: Advocates Push Mamdani For Massive Fair Fares Expansion

The expansion would offer free transit on the subway and bus for people making up to 150 percent of the federal poverty level, which is not a lot.

February 5, 2026

AV Snub: School Bus Drivers Close The Doors On Autonomous Vehicles

School bus drivers are joining the chorus of opposition to a possible statewide expansion of Waymo, but it could be too late.

February 5, 2026
See all posts