High heels that hurt…. really

Ever wondered what the downside of wearing high heels are? I mean, other than having sore feet for a few days? Women routinely fall, hurt themselves and not just in a “oops this is so embarrassing” way. There was a report recently about the extent of injuries women have from high heels in Melbourne Australia.
Paramedics there have reported a marked increase in ambulance calls from women, mostly youngsters in the 20s or so. The paramedics say they see injuries like in-turned ankles, fractures where the bone is actually sticking out… like the ones footballers (soccer) have.
Similarly, in the UK, a nationwide poll of women aged 18-65 revealed that a good 89% of the women were uncomfortable in high heels with only 2% saying they never wear high heels.
The statistics are unfavorable, the medical conditions can be lifelong, and they hurt like hell… makes one wonder where this is all heading and who is to blame?
Should women exercise self control and say no to high heels or should shoe designers think of a way to address this?