Probably no one single cause. Bigger vehicles. Wider roads. More driving centric. Less give a shit about other people.
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Poor pedestrian infrastructure and too many fucking morons driving around in oversized brodozers...
Two reasons (at least): we don't have that many SUVs and monster trucks on our roads. And police here is rather strictly enforcing the law with regards to cell phones.
I feel like the strictly enforced cell phone laws are also strictly enforced in America. I think it really is just down to how big vehicles are here and how bad the sight distance is in those larger vehicles, combined with municipalities not investing in infrastructure that prevents or mitigates crashes and pedestrian fatalities. There was recently an article about a town that did do this and hasn't had a pedestrian fatality in like a decade here in the US and I think that's proof of what I'm saying.
Why are phones even working in cars? These devices have sophisticated 6 axis sensors, and it is easy to tell if a user is a passenger or a driver. Or just fucking disable them once they are moving at a set speed. The world can survive without phone connectivity for a car ride.
30,000 a year are slaughtered in the US alone, despite ABS, TC, ESC, various air bags, etc. but the solution is to make them more like tanks without addressing the actual cause of the problem.
I'm kinda surprised the US lawyer industry hasn't tried a class action suit.