United Kingdom
General community for news/discussion in the UK.
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They knew about the problems before the incident as there was a report:
But it took half a thousand child deaths for them to "apologise".
Given that they had known about the problems and did nothing, I doubt they would suddenly change course. And this isn't even the first time.
At every level an enormous amount of money and effort is spent on avoiding responsibility and doing the as little as possible. I don't know how to change that yet, but looking at other countries where it works might be a lead.