If you will pardon me one further digression (not a Vision Zero matter, but it relates to your question at least) - having been the primary caregiver to a family member now in their nineties for the past decade.... the biggest transport/mobility barrier I have encountered relates to access to health services in locations other than major hospitals. All buildings with clinics meet some level of accessibility codes, but many lack amenities directly related to transportation needs. The amenities I am referring to are - a building lobby with adequate waiting space for patients awaiting transport, clear sightlines to whatever curb or ramp is used for mobility access (which includes use by private auto drivers such as myself, as well as taxi or Wheeltrans), a mobility equipped washroom immediately adjacent to the waiting area, and security such that the caregiver can leave the disabled or unwell person while they park or retrieve their vehicle (since parking may be at a distance and/or not amenable to loading/unloading a disabled person).
Major hospitals mostly meet this standard, but a huge number of clinics, health providers, etc - who may be located in strip malls or less well maintained office buildings that cater to medical services - clearly do not. It has been hugely stressful to deposit my charge in a weather affected, possibly sketchy location while I parked/retrieved my vehicle.
- Paul
I've been through this myself.
My mother in her last couple of years, post-stroke, having COPD, using a walker, and also having some dementia was a challenge to get to many appointments. I had to drive her in most cases, and her ability to walk was limited to one block at most, and because she was prone to short-term memory lapse and disorientation, leaving her unattended was not really acceptable.
As such I'm very sympathetic w/those challenges.
That said, most don't fall within the City's prerogative.
One could argue that the City should mandate/create patient pickup and drop-off in front of all medical facilities; of course, if there was no grandfathering, this would displace perhaps a majority of doctor's offices in the City.
But even that doesn't address the issue of continuous supervision of someone. Something I found I had to phone-ahead and arrange, and it could be quite the challenge as staff were not set-up to do this in many cases (walk out to a car to escort someone in for example).
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I feel strongly we ought to address such challenges, I expect most of those fall within the sphere of the province; in the same way the building code does.
Mandating full accessibility in every residence is entirely impractical, it would force much larger unit sizes if all bathrooms/kitchens had to have the requisite space for wheelchair users.
That said; there is an argument in new builds, that at least one powder room should meet the standard for accessibility in every apartment/home; but there would certainly be some pushback from industry on cost.
The City is reasonably on the hook for maintenance standards, interruptions of sidewalk/path caused by construction and the program for winter snow-clearing and safety.
We can all agree they ought to be doing better on pretty much all of these; but if you did everyone perfectly, you wouldn't allow a mobility impaired person to access a sidewalk-less street when there are snowbanks on the road.
Equally, I'm not sure such a mobility impaired person should be left in the midst of a road without quality traffic calming and a probably as-driven speed below 30km/ph.
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We could add, for homeowners (or businesses) that the case could be made for having snow melt systems under at least one path, to one entrance (ideally an accessible one); but that is rather a gold-standard that I don't
see being achieved in this generation.