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This is a conversation paper on national public policy issues relating to reducing Australia’s deaths and injuries from road crashes. These deaths and injuries are often termed the “road toll’; a toll or price we do not have to pay. The National Road Safety Strategy 2011-2020 (NRSS) accepts a zero vision - no one should be killed in road crashes. This conversation paper is entirely the view of the author, developed from conversation with a wide range of interested individuals and it will be updated based on comments received. This is the second edition. It is intended to provide an independent constructive commentary with some specific actions to reduce road trauma in Australia. Two years into the UN Decade of Action for Road Safety 2011-2020, the Australian response and actions in managing a reduction in domestic road trauma could benefit from a more coordinated and action-oriented focus. Australian governments collectively agreed in May 2011 to reduce deaths and injuries from road crashes by 30% by 2020. While results in some areas are on target, overall Australia is already falling behind its trauma reduction targets. More died and perhaps more were injured in road crashes in 2012 than 2011. Twenty five died every week in 2012 across the country in those crashes. We can estimate that around 500 were seriously injured; every week.