Скачать или смотреть A System So Broken It Killed 123 Children.

May 15, 1929. Cleveland Clinic Hospital. 123 babies died behind a fireproof curtain that worked exactly as designed.

When toxic gas from burning X-ray film spread through the ventilation system, nurses pulled the emergency lever. The two-ton steel curtain dropped perfectly. The locked fire doors engaged. Everything functioned as intended.

Three nurses watched through the observation window as 123 babies suffocated behind barriers they couldn't lift.

Every safety feature had passed inspection. Three separate inspectors approved the curtain, the ventilation, the doors. But no one tested what happened when they all worked simultaneously.

Three years earlier, the same system killed four babies in Chicago. That incident report never left Illinois. Ohio inspectors had no idea.

After the tragedy, Cleveland's city council proposed new regulations. The vote failed 8-4—retrofitting would cost too much. Instead, they posted evacuation instructions and reopened the hospital 14 months later. Same building. Same system. Same curtains.

It passed inspection again.

This is how institutional safety fails while following all the rules. How compartmentalized inspections prevent anyone from seeing the complete system. And how the solution to structural problems is always procedural, not structural.

The system was deemed acceptable.

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#Darkhistory #ClevelandClinic #SystemicFailure #InstitutionalFailure #AmericaHistory