As im starting to analyze the game systems, traffic is by far the largest problem. I have a city of around 112,000 people with only a single clinic (and i can add another wing and two more ambulances). I have no health problems in the city. Large cities with poor traffic have issues where the ambulances simply can't get there fast enough to treat the sickly.
Same goes for garbage. 6 garbage trucks are enough for a my city.
Everything i do has to be under the pretense of improving traffic.
The most important thing i've found is that have as few intersections into avenues as possible. Traffic lights (due to intersections) are really killer to avenues. You are also better off having small "islands" off your avenues with only one point of entry. Multiple points off and unto an avenue will create intersections, and will encourage drivers to take the small roads over the avenues to actually get back unto the avenue.
Simcity drivers will take the shortest possible path, *NOT* the most efficient path. Often times, a smaller road is a slightly shorter path than the avenue, and they will all take it instead of the avenue.
When you create "islands" off the avenue, only the residents/workers will enter instead of people commuting through a longer distance.
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