We break down the sequence of events leading up to them and look for cracks in the system, inflection points where one decision could have averted the tragedies. We try to identify the flaws in the system, hoping that they will be corrected so something so terrible won’t happen again. This is what I wanted to do with my family’s story, go back over the events of the days that Nancy and Danny died—and the months and years leading up to them—to see if there was anything more we could have done to change the outcome.

