Skip to Content
Streetsblog Los Angeles home
Streetsblog Los Angeles home
Log In
Streetsblog.net

A Hippocratic Oath for People Who Take Care of Cities

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 Los Angeles

SGV Connect 144: Annual AMA with Foothill Transit

It's the most wonderful podcast of the year

December 19, 2025

Friday Round-Up: Speed Cameras, River Path, Memorial Crosswalk, and More

Metro releases L.A. River path draft plan for comment, "large asphalt repair" video, crosswalk memorial, and speed camera programs coming soon to Glendale and Long Beach

December 19, 2025

They Came to Mourn. LAPD Came in Force. Now Two Men Could Face Serious Consequences Because LAPD Won’t Acknowledge They Were Wrong.

The July 7 vigil for Kenny Hall had been peaceful until LAPD arrived and began pushing people around. When peacemaker Shamond "Lil AD" Bennett tried to intervene and de-escalate LAPD, officer Evan Mott assaulted him. When Dontreal Washington protested, officers punched him in the face. Then LAPD arrested them both.

December 18, 2025

Thursday’s Headlines

ICE, crosswalks, LB & Glendale speed cameras, LAPD, bike lanes, Councilmember Lee, Tesla, car-nage, and more

December 18, 2025

LAPD Shuts Down Volunteers Repainting Nadir Gavarrete Memorial at Koreatown Intersection

At the deadly 4th/New Hampshire intersection, LAPD shut down Crosswalks Collective L.A.'s unpermitted safe streets work

December 17, 2025
See all posts