How do I define pain? Having to go to the bank to pull out cash to buy a vehicle. Lewis Mumford wrote this back in 1966: "Only war can claim so many premature deaths; for the death rate from motor cars is greater than the combined death rate from falls, burnings, drownings, railroads, firearms, and poisonous gases, plus some two thousand other deaths from undefinable causes. And though only roughly half as many Americans were killed outright by autos in the last four-year period as were killed in our armed forces during a similar term in the Second World War, nearly three times as many were injured."
I imagine it's only gotten worse.