I'm surprise it hasn't been brought up, but the statistics are skewed. In order to analyse and compare the large proportion of DR traffic accident fatalities vis-a-vis other countries, we have to factor in deaths caused by the typically inappropriate handling of accident victims, the terrible care at emergency treatment facilities, not counting the inadequate medical services provided in most public hospitals. I'm sure many accident victim's lives could have, and can be, saved if emergency services were at a par with those, say in New Jersey. My own wife (before I met her), was hit by a speeding bus ("voladora"), en left for dead on the side of the road, covered over with a tarp. Hours later, her sister found her and noticing she was still alive, stopped a pick-up truck, and with the help of the driver she was practically slung on the back of the truck, and driven two hours away to the closest trauma medical facility. How many in similar situations don't make it?