This book revisits the tainted blood tragedy that Canada experienced in the latter part of the 20th century. It presents an argument in brief about the tragedy being the result of a cascade of pathologies of governance. Then it challenges the conventional wisdom and its explanation boiling down to four ill-founded accusations. After proposing a systemic reconstruction of the tragedy, it develops some responses to the systemic governance failures. The conclusion takes stock of the modest progress in the repairs of the toxic system in place, and the postface focuses on the demise of critical thinking as a fundamental source of the crisis and on a need to refurbish critical thinking if advances are to be expected in what remains a work in progress

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