Long before the COVID-19 pandemic, the US faced an epidemic on wheels. Daily, the US mourns the loss of 100 people on American roads. Vulnerable road users pay the heaviest price - pedestrian fatalities increased by more than 50% over the last ten years - a stark contrast to the 2% increase in other traffic deaths. Americans are not safe from dangerous roads at home or abroad, where they are their #1 killer. For the new Administration, the public health crisis is a personal one - President-Elect Joe Biden lost his daughter and wife in one of the country’s annual six million car crashes.