Gary, Indiana. took the number two spot. Jackson, Mississippi took number three, though they were nowhere close to Daytona Beach, with 3.84 and 3.79 times the median rate of car deaths.
Among small towns — those with populations under 50,000 — Dayton, Texas (located in the greater Houston metro) topped the list with a crash death rate an astonishing 12.4 times the national median
Source: https://docs.google.com/spreadsheets/d/1JoWMRt2vMV2uwlzPc4InSJlKckEHr5WyxYbXTIIIjHo/edit?gid=0#gid=0
It's amazing what effective required driver training, intelligent road construction for saftey, and strict impaired driver consequences will do.
I lived in the U.K. for a while in my early 20's. My U.S. license worked for the first year but after that I was required to get the UK license. Holy fuck it was hard. The written test made the U.S. one look like childsplay.
I ended up taking a driving lessons from a course while I was there. It was extremely difficult. After 10 lessons I was able to take and pass the practical exam... Barely. At that point I had been driving in the U.S. for 6 years.
I am sub-average driver in the UK and Western Europe. In the U.S. my skill level is at the elite level. It's truly terrifying.