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With the design of an existing bike-lane in mind I discuss several general issues: accident causation and its linkage to the formulation of prevention strategies; the myopia afflicting major studies of causation and their misleading ‘the-driver-did-it’ message; the question of who is responsible for what in the management of road safety; and the difficult position in which the professionals find themselves when the ‘State’ does not embrace its responsibility to road safety. I think that were the public aware of this state of affairs in North America it might insist on change.