Most European countries heavily tax large cars, large engines and fuel for a number of reasons:
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Cars have to fit the size of the streets and narrow roads; large US cars just don’t fit.
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Most European countries do not have their own oil; to keep from running large trade deficits they minimize the amount of oil imported.
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Countries without a car industry, Denmark, Switzerland, Norway, Finland, Luxembourg, etc. want to limit the large outflow of cash, so many have a tax structue that favors impoting smaller cars.
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European countries with dense populations are the ideal location for public transportation, and intercity trains. If they make driving too cheap, massive congetion would take place and public transit would have to be subsidized.
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global warming is now a driving foroce as well, and tailpipe emissions at 125 grams/kilometer dictates smaller,lighter cars.
So, having all this money available results in good public transportation, and the health care support is a RESULT, not the reason for having expensive gas and high licensing fees. Free university education is available as well in many countries.