Also, 36,500 people were killed, and 4.5 million people were injured in the USA in 2019.
This report makes the mistake of blaming individuals for not wearing seatbelts and speeding, when a shift in urban design is necessary to mitigate this disaster.
Seatbelts work well if you’re in the car, absolutely.
With that said, infrastructure design decisions impact people in a car and people not in a car: motorcycle operators, pedestrians, and cyclists. I think OP was getting at this.
Add to this: ALL vehicles for sale should include as standard automatic emergency braking with pedestrian detection. Those systems work to reduce pedestrian deaths. Here is some information from IIHS. If IIHS required this to get a high vehicle safety rating the OEMS would respond within 2-3 model years.