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Agreed, outside of London the options are often severely limited.
I was back up North at my parents over Christmas. Everything is either up or down a big hill, buses are pretty infrequent, trains are at best once an hour (and unreliable) and public transport really cuts down past 6pm, most journeys are more than a couple of miles. There aren't many options other than driving without a significant investment in the alternatives.
Good post.
I think it's easy to forget your starting bias when you like cycling and live in London, where on balance cycling / walking is often the best transport on offer. What's the solution if you wanted to transport 3 children to 2 difference schools and had to cross the North Circular?
Now I'm in the 'burbs I use the car more than I should. Why? It's quick, comfortable and practical (and I've not sorted out a runnaround bike). Oddly I routinely walk further to meetings than I would to the shops. What practical restriction could be placed on me?
I would also query whether using a car to run errands and long journeys is "the thing" that decreases my fitness? Or is it a total lifestyle combination of; commute > sit at PC > eat at PC > commute > TV / drinks / food?
I think "the" solution is a more holistic change in how people view their lives. I've been quite heavily motivated by this article in the newyorker took me to mr money mustache's blog