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1. Schmid discusses the aftermath of Fukushima and how the workers at the plant lacked expertise in handling this type of disaster, and as a result, retreated. This is an example of the lack of knowledge among workers and lack of an action plan in case a disaster such as the one that occured happens.

2. Schmid points out how world leaders are recognizing the need for a unified and consice nuclear emergency response plan. One of the leaders include Russian nuclear operator, who suggested that international law should force countries operating nuclear plants to abide by international safety standards. 

3. She also points out how executives in the nuclear industry create many rules in order to control the workers. They don't necessarily analyze when, why, and by whom rules are broken, but instead implement more rules. When rule-beinding or judgement calls are made, executives try to conceal them instead of learn from them, which is part of the issue at hand. Improvisation is very important. Especially when it emphasizes the expertise of the executives. During an emergency, improvisation would show what experts have experienced and how well they can lead and cooperate. 

The main point of this article is that medicine needs human experience through stories and vignettes in order to provide better diagnoses and outcomes for patients. This author highlights the importance for doctors to consider stories and personal anecdotes when deciding what would be best for their patient.