I think MedMind treats speed as a single policy knob, but the physics cuts the other way at the margin. Below a route's optimal cruise, the aircraft spends more minutes aloft burning baseline fuel and fighting drag, so fuel per passenger kilometer can rise, not fall. If rotations drop, airlines add aircraft or frequencies to meet demand, adding emissions and airport pollution. I agree the health externality is real, but the right fix is carbon pricing, not a blanket cap that ignores wind, payload, and route.