New Report: Traffic Crashes Cost San Francisco $500M a Year

A Wake-Up Call for San Francisco: Our Streets Are Unsafe—And It’s Costing Us

A new report from the City’s Budget and Legislative Analyst confirms what many of us feel every day: San Francisco’s streets are dangerous—and we’re all paying the price.

Photo: Napper Tandy Parklet Crash in February. Credit: ABC7 News

Commissioned by Supervisor Myrna Melgar, the report finds that traffic crashes have cost our city over $2.5 billion in the last five years. That’s $500 million per year in medical bills, lost wages, property damage, and legal expenses. A hidden tax we all pay—because we’re not doing enough to make our streets safe.

At KidSafe SF, we’re calling this what it is: a preventable crisis. From 2018 to 2022, there were:

  • over 90,000 crashes.

  • 33,000 injuries.

  • 193 deaths.

  • $500 million a year in losses.

And yet, San Francisco invests just $33 million per year on staffing its street safety efforts—less than 3% of SFMTA’s overall budget. SFMTA spent an additional $60 million on capital projects for streets, which can include safety upgrades, in 2024-25.

We know what works:

  • Quick-build projects reduce crashes by 30%

  • Vision Zero policies have saved cities like New York $90M in healthcare costs

  • Daylighting and better street design prevent serious injuries

So why is San Francisco moving so slowly?

City leaders must act with urgency. That includes:

  • Prioritizing quick-build projects

  • Monitoring how city employees drive

  • Removing red tape that delays lifesaving improvements

Let’s stop paying the price of inaction. Let’s build a city where kids can walk, bike, and play safely.


Want to get involved?

Join Supervisor Myrna Melgar for a Safe Streets, Strong SF rally on Tuesday, April 29 at noon on the steps of City Hall to demand full funding for safe streets and investment in a healthy economic recovery.

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