Skip to Content
Streetsblog USA home
Streetsblog USA home
Log In

The city as an organism -- it's a common analogy, probably in part because it's so instructive.

false

On Network blog Streets.mn today, David Levinson expands on this idea with a thought piece about applying lessons from the professions of medicine and healing to urban places:

Epidemiology studies the state of human health, as measured by the presence or absence of disease, as well as the causes of those diseases, whether genetic, behavioral, or environment. Someone should similarly be responsible for studying and treating the state of urban health, focusing upon the city’s circulatory system, and looking at causes including human behavior and the urban environment (which is usually taken as fixed) in which humans interact. As knowledge from epidemiology leads to treatments by doctors prescribing medicine, nutritionists telling the patient to change his habits, or regulators changing environmental standards, knowledge from transportation leads to treatments by traffic engineers prescribing angioplasty for the hardened arterials of our city, planners building bypasses, or gurus telling us to change our behavior or urban environment.

There is at least one useful lesson from medicine: First do no harm. We would not want a doctor to chop off our arm, and leave a gaping hole for a few decades while he figured out what to do next. We should consider why we permit destruction of functional if not optimal parts of cities well before we have any plan or resources to close the gaping wound with something else functional. The equivalent of a city’s doctors need to require replacement by something other than a vacant lot or surface parking before they permit demolition.

Elsewhere on the Streetsblog Network: Rebuilding Place in the Urban Space explores the arguments for treating walkable urban design as a national security measure. The Invisible Visible Man examines how excluding vulnerable street users from the common conception of who is part of the "community" leads to deadly traffic outcomes. And Chicargobike wonders how Chicago's growing women's bike movement can be scaled up to cities around the country.

Stay in touch

Sign up for our free newsletter

More from Streetsblog USA

NYC Warns Delivery Apps to Follow New Worker Protection Laws

The Mamdani Administration sent letters to over 60 delivery app companies, warning they must comply with new regulations.

January 20, 2026

What the ‘Abundance’ Agenda Could Mean For Equitable Transportation

Could Ezra Klein and Derek Thompson's buzzword usher in an era of bountiful transportation options, or just more highways?

January 20, 2026

Tuesday’s Headlines Weigh Perception and Reality

It may be driven largely by the media — car crashes are too common to make the news — but a feeling that transit isn't safe is hurting ridership.

January 20, 2026

Monday’s Headlines Wonder About E-Bikes’ Future

E-bike sales surged in 2020 and 2021 but have been flat ever since.

January 19, 2026

Friday Video: How ‘Car Brain’ Warps the Way We See the World

How can we fix the brains distorted by car culture?

January 16, 2026

Friday’s Headlines Are the Best

People for Bikes named its top bike lane projects of the past year.

January 16, 2026
See all posts