The “Sick Passenger” Problem
The November 24th New York Times carried a front-page story titled, “Hated Words Subway Riders Are Hearing More: ‘Sick Passenger.” It is not just in New York City that transit riders (mostly rail) are encountering this problem. It is everywhere, and it is growing. The Times reported that in New York,
Sick passengers have accounted or about 3,000 train delays each month this year . . . a figure that has grown drastically in recent years, from about 1,800 each month in 2012, according to the Metropolitan Transportation Authority.
I don’t have figures for other cities, but I suspect the trend is similar. The interesting fact is that say, 30 years ago, this problem was rare. I rode Washington’s Metro every day back then, and I rarely had a train delayed for this reason (or any other; Metro was reliable in those days). I suspect that if we went back to the 1930s or 1940s, we would find it never happened. Transit operators then had the common sense not to let one person delay thousands.
The delays can be substantial, over half an hour, and they affect not only the hundreds of riders on the train where a passenger has a problem, but many of the trains lined up behind that one. Absent a convenient crossover or third track, all those trains are also stopped. The delays can then ripple through the system for hours – – all because of one person.
These delays are unacceptable, and also unnecessary. The problem is current procedure, which is to pull the train with the sick passenger into the next station and hold it there until medical personnel can arrive and attend to the individual. Just the arrival can take half an hour, and more time is usually lost before the EMTs can remove the person from the train.
There is a better way. Transit systems should adopt a policy whereby the trains continue on to the nearest stop where medical personnel can be waiting when it gets there. Time will still be lost as EMTs remove the individual from the train, but all the time spent waiting for them to arrive will be saved. More, because the train will continue on farther than at present, there will be more opportunities to put it in a pocket track. That would reduce the delays to follow-on trains, perhaps even eliminate them.
I can already hear the response of transit authorities. “Our lawyers won’t let us do that. It would increase the danger somebody could sue and collect, because some sleaze-bag lawyer will encourage them to charge that they suffered more than they would have if the train had stopped at the nearest station.” As is so often the case, we see here the desperate need for tort reform.
But again, I think there is an answer. If the city or cities the transit system serves were to pass this policy as legislation, the transit agency’s back would be covered. They could say, “We were just following the law.” Don’t like it. Get City Council to change the law.
I’m sure the mewling “advocates” for the bungled, the botched and the bewildered will howl if cities do their duty and pass legislation along the lines I’ve suggested. In their eyes, a “victim” has some right to whatever he wants; while the thousands of people trying to get to work or home from work have none (they’re not “disadvantaged”).
Tell ‘em to go to hell. Ever more frequently messing up transit systems’ operations, often during rush hours, for one “sick passenger” is absurd. There is a better way, one where the sick passenger gets professional assistance just as quickly as he does now. The only losers are the lawyers.
William S. Lind serves as Director of The American Conservative Center for Public Transportation