Galileo tried to teach us that when we add more and more layers to a system intended to avert disaster, those layers of complexity may eventually be what causes the catastrophe. His basic lesson has been ignored in nuclear power plants, financial markets and at the Oscars…all resulting in chaos.
Featuring: Archie Panjabi, Mircea Monroe, Enzo Cilenti, Ed Gaughan and Rufus Wright
Producers: Ryan Dilley and Marilyn Rust. Sound design/mix/musical composition: Pascal Wyse. Fact checking: Joseph Fridman. Editor: Julia Barton. Recording: Wardour Studios, London. GSI Studios, New York. PR: Christine Ragasa.
First released November 22nd, 2019
Benjamin Bannister on typography at the Oscars.
Galileo’s Dialogues Concerning Two New Sciences.
Charles Perrow’s Normal Accidents introduces the idea of complex, tightly-coupled systems and has good accounts both of the Three Mile Island and the Fermi reactor accidents. Just after we’d recorded the episode, I heard the sad news that Charles had died on November 12th. He’ll be missed.
The official report of the commission investigating Three Mile Island, chaired by John Kemeny.
Meltdown by Chris Clearfield and Andras Tilcik first drew the link between Perrow’s work and the La La Land fiasco. It’s a great book; check it out.
Dowell and Hendershott’s classic article about backfiring safety systems is No Good Deed Goes Unpunished: Case Studies of Incidents and Potential Incidents Caused by Protective Systems.
Don Norman’s The Design of Everyday Things discusses confusing instrumentation.
My previous article What Banks Should Learn From A Nuclear Reactor uses Charles Perrow’s ideas to draw parallels between banking and nuclear accidents.
Andrew Ross Sorkin’s Too Big Too Fail has the scoop on what happened when Bob Willumstad met Tim Geithner.
The new three-envelope system was described in Vanity Fair.