- Licensing and renewal requirements are extremely lax

- Many states have extremely lenient DUI punishments

- Road conditions and design are often extremely lacking (e.g., stroads with high speed and high conflict points make up an outsized proportion of fatalities, there could be more emphasis on traffic calming than traffic flow and high average speed).

- Lack of safer alternatives (e.g. public transit) despite generally having the population numbers and density to support robust public transit.

- Too many safety loopholes for popular passenger trucks where the differences in regulations were intended to accommodate commercial activity with professional drivers, but the market has shifted to regular consumers driving large heavy vehicles with poor pedestrian safety like full size pickup trucks.