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It's complicated. In the USA some states like South Carolina have higher rates of fatalities while others have fatalities per billion vehicle-km comparable to the best countries in Europe[1][2]:

USA and territories 7.1 (includes Guam, Samoa, Puerto Rico, etc.)

USA, Massachusetts 3.25

Sweden 3.5

Netherlands 4.5

Belgium 7.3

Spain 7.8

Australia 5.2

Japan 8

S. Korea 16

Brazil 55.9

[1] https://en.wikipedia.org/wiki/List_of_countries_by_traffic-r...

[2] https://en.wikipedia.org/wiki/Transportation_safety_in_the_U...



I think that if you compare by fatalities per km you should also take population density into account: 336 per km2 for Massachusetts vs. 501 per km2 in the Netherlands.




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