"Expensive" transit services that maintain the health of vulnerable individuals often result in tremendous tax payer savings on the health care side of the equation. Meanwhile, "cost efficient" transit services, such as student shuttles, have outstanding cost-per-ride and riders-per-hour figures, but have little impact on other forms of community expense. Performance measures need to expand beyond transit to measure their true impact and cost efficiency. Another way of looking at this would be to ask what are the costs if the specialized service is NOT provided? Do health care costs escalate? Do people die?
Idea No. 35