I finished a bike ride off last Sunday with a trip in an ambulance. My accident happened when I hit a rock or a root, riding at no speed, on a fairly level trail I've ridden quite a few times before.
There's a dent in my helmet, not a big impact, just a smallish dent and a bit of a mark in the coating. Did it save me from concussion, fractured skull, brain injury? No way of telling, but I was home the same night - albeit plastered and on crutches - with my family rather than occupying a much needed hospital bed.
Talking to the ambulance crew and the staff in A&E I got the same impression throughout - they were very pleased I'd worn a helmet. I heard several first hand accounts from medical staff who'd had to deal with the aftermath of brain injuries, including dealing with the cyclists' families.
So, yes, it
is a free choice. But - and I really hope this never applies to any of you or your families - if you have to be scraped off the road or trail and patched up by your local hospital wearing that helmet can make everyones' lives much less unpleasant.