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> "the individual is just following perverse incentives that have been socially normalized over time"

Normalization of deviance,

https://hn.algolia.com/?query=normalization%20deviance&type=...

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Given this keeps happening in Spain, maybe we'll need to call this "Normalization of normalization of deviance".

Humans never learn.

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"They need to keep trains on schedule, using a buggy system, with a manager looking over their shoulder."

Also lots of potentially angry passengers who want to get to their destination in time. Will miss important appointments, or even the last train connection for the day and be stranded if the train drivers decide to wait a little bit longer to be on the save side.

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You also miss appointments and are late if you are dead due to a train crash.
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I recently saw a doc on the 2013 Spanish crash and it was full of absurd system problems. The govt pinned it on the driver as best they could but it's clear that it was entirely preventable.
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Jenga effectively. 3 others and Bob spent time destabilizing but Bob over here pulled the block before it collapsed. It's his fault.
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> human negligence and the system doing exactly what it’s supposed to do

Negligence is not limited to the single human who issued the order. it's pretty unlikely that their order could have caused this without a significant amount of other negligence that eroded the safeguards. Nevertheless, the negligence is human, not machine in nature.

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I did read from HN someone from Spain said that the system crashed very often that they had to rely on humans frequently.
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Trains in spain have been running at reduced speed, delayed or even cancelled for a while due to aging infrastructure, which might've actually caused another deadly accident back in winter, so this behavior does not surprise me.
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> Show me the incentive and I’ll show you the outcome

> -Charlie Munger

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Normalization of deviance [0], wherein a clearly unsafe practice becomes considered normal if it does not immediately cause a catastrophe: "a long incubation period [before a final disaster] with early warning signs that were either misinterpreted, ignored or missed completely

[0] https://en.wikipedia.org/wiki/Normalization_of_deviance

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It’s still gross negligence to place punctuality over safety, regardless of the reasons behind this behaviour.
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(Un)Fortunately, finding someone who is "at fault" generally helps neither in investigating root causes nor in preventing similar problems in the future.

Usually it's detrimental, hence (criminal) investigations of personal liability in such cases are often only allowed after systemic investigation has concluded.

In court, you are allowed to withhold information that makes you look bad, which is simply lethally unhelpful when we want safer trains.

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I don't mean to absolve people for negligence, but when margins are very small and paychecks may have become a necessity to survive on this planet, sometimes within the complex process the collective behaviour gets pretty weird.

There are not that many people who (care to) see the big picture(s) and the consequences their semi-small actions may have in the long run.

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