Skip to Content
Streetsblog USA home
Streetsblog USA home
Log In
Streetsblog.net

A Hippocratic Oath for People Who Take Care of Cities

10:52 AM EDT on March 25, 2013

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

Friday’s Headlines Are So Fresh and So Clean

The only thing Americans love more than a car is a clean car.

February 23, 2024

CalBike: Tell the Legislature Hands Off Active Transportation Funding

Calbike has an action alert that allows its members to write directly to legislators with their feelings on whether or not the ATP funding should be restored before the legislature votes on the budget in June.

February 22, 2024

Oakland Rips Out Protected Bike Lane on Embarcadero

The city and the councilmember who represents District 2 complain about lack of resources for safety projects, but somehow they have the resources to rip out protected bike lanes.

February 22, 2024

Talking Headways Podcast: The Annual Yonah Freemark Show, Part II

This week, let's talk about transit funding in general and the Roosevelt Boulevard subway in Philadelphia, specifically.

February 22, 2024

State DOTs Spend Even More Money on Highway Expansions Than We Thought

Advocates knew states would go on a highway widening binge when the Bipartisan Infrastructure Law passed — but they didn't know it would be quite this bad.

February 22, 2024
See all posts