skyscraper builders must run into thousands like it—difficulties they could never have predicted or addressed in a checklist designed in advance. The medical way of dealing with such problems—with the inevitable nuances of an individual patient case—is to leave them to the expert’s individual judgment. You give the specialist autonomy. In this instance, Rouillard was the specialist. Had the building site been a hospital ward, his personal judgment would hold sway. This approach has a flaw, however, O’Sullivan pointed out. Like a patient, a building involves multiple specialists—the sixteen
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