To extend the debate beyond "road tax", it is true that in total motorists pay more than just VED: revenue from fuel duty in 2004/05 was £23bn (Table 7.15 in DfT 2006, 129). Does this additional taxation mean that drivers pay a fair price after all? To make a meaningful comparison, if we take into account these additional taxes on motorists, we must also take into account the wider cost of motor vehicles to the economy as a whole. The economic cost of road accidents, for example, was estimated in 2004 to be some £18bn per year (DfT 2004, 5) and the cost to the British economy of road traffic congestion was estimated to be £20bn, rising to £30bn by 2010 (Goodwin 2004, 2). In 1998 it was calculated that between 12,000 and 24,000 deaths may be may "brought forward" each year in the UK as a result of air pollution, and that between 14,000 and 24,000 hospital admissions annually result from poor air quality (COMEAP 1998), to which road transport is by far the largest single contributor (FoE 1999, 1), and although the resulting economic cost is not estimated it must be considerable. In this light, and without even factoring in the less easily established costs of damage to wildlife, noise pollution, contribution to climate change, and end-of-life disposal of motor vehicles, it is already clear that motorists do not currently pay anything like the full cost of motoring.