“It was 6:20 a.m. when Lion Air 610 departed the runway. The nose gear had barely left the ground when [Captain Bhavye] Suneja’s control column began shaking, the cue for a potential stall. Two alerts signaling bad altitude and airspeed readings blinked on. Flight data recorders don’t pick up the expressions on pilots’ faces, or the stab in their spines, when they sense their docile machine might kill them. Harvino, the copilot, immediately asked the captain if he planned to turn around. Suneja suggested they get clearance to a holding point to buy some time. ‘Flight control problem,’ Harvino radioed. As Suneja steered toward the new heading, the nose mysteriously dipped. He squeezed a switch on the control column under his thumb to push it back up. The nose lifted, but then dipped again. For eight minutes, the tug-of-war continued. The blue expanse of Jakarta Bay filled the windows…”
- Peter Robison, Flying Blind: The 737 MAX Tragedy and the Fall of Boeing
The 189 passengers and crew filing into Lion Air Flight 610 early on the morning of October 29, 2018, had little cause for concern. The skies over Pangkal Pinang, Jakarta were blue, the weather forecast was clear, and the plane they were flying – a Boeing 737 MAX 8 – was quite new, the fourth-generation entry in a durable line of aircraft that had been flying since 1967. Nevertheless, thirteen minutes after takeoff, Flight 610 went nose-first into the Java Sea, killing all aboard.
Boeing was quick to point to pilot error, and to note Lion Air’s questionable safety history. CEO Dennis Muilenburg did such a good job of deflecting blame that Boeing’s stock price actually soared, even as its planes plummeted.
Four months later, it happened again.
***
In Flying Blind, Peter Robison tells the story of how Boeing changed from a great American company that embodied innovation, expertise, and consumer trust, into just another modern corporation being used as an ATM machine for the benefit of the board, the officers, and its shareholders. Unfortunately, this is a familiar tale of late stage capitalism, filled with perverted organizational cultures, cost cutting, and deregulation. Most of the time, the victims of such business practices are the company’s workers, who end up getting fired to raise stock prices and assure their boss’s generational wealth can stretch to at least the fourth generation.
This time, though, three-hundred-and-forty-six people died tremendously horrifying deaths, all so that Boeing could curry favor with Wall Street analysts and CNBC. Robison gives you a front-row seat to this ugly transformation with a crisply paced, well-sourced narrative that will leave you infuriated.
***
Losing market share to Airbus, Boeing had two options. First, they could design a new, ultramodern plane, likely at a cost of around $20 billion. Second, they could spend a fraction of that amount to churn out another iteration of their workhorse 737.
Ultimately, Boeing went through door number two.
Part of the redesign involved larger, more efficient engines mounted on the front of the wing. This allowed for pretty significant cost savings, as less jet fuel was needed. The problem – as it turned out – was that these front-mounted engines could push the nose upwards under certain conditions, leading to a stall.
To forestall – literally – this event, Boeing came up with the “Maneuvering Characteristics Augmentation System,” or MCAS. Tied to the angle-of-attack indicator, the MCAS would automatically push the nose back down if the angle-of-attack became too extreme.
Though sound in theory, the MCAS had some practical issues, both in design and execution. For one, the MCAS operated on only a single input, the angle-of-attack sensor. When you have a single point of failure – a probe vulnerably mounted outside the plane – and that single point fails, you have trouble. On Lion Air 610 – and the subsequent crash of Ethiopian Airlines 302 – the angle-of-attack sensor was mis-calibrated, leading the MCAS to keep pushing the nose down, while the pilots tried to pull up. In a very real sense, a computer overrode the humans, fatally hewing to its own calculations.
There was a workaround to this, but initially, Boeing did not even tell pilots that the MCAS system had been installed, because telling pilots would have been an admission that further training was required. For Boeing, training meant costs, and costs had to be avoided. After the first crash, instead of fixing the MCAS, Boeing gave pilots a procedure to follow if the MCAS failed again. The procedure, though, had to be completed within ten seconds, something that even test pilots – sitting in a simulator, ready for trouble – struggled to complete.
(Side note: Though Robison does not explore this issue, I find the technology-vs-human angle to be fascinating. It is almost the exact opposite scenario of Air France 447, in which an outside mounted sensor – a pitot tube – failed, and the pilots overrode the autopilot, took the plane outside its envelope, and caused a perfectly functioning aircraft to stall, and then drop over 30,000 feet like a stone, right into the Atlantic).
***
While the flaws in the Boeing 737 MAX were technical, Flying Blind is mostly about human greed. A Bloomberg business reporter, Robison begins with a gripping recounting of the doomed Lion Air flight, then provides an overview of the chain of shortsighted decisions leading to the bottom of the Java Sea.
Following this prologue, Robison circles back to William E. Boeing and the founding of his eponymous company. In better days, Boeing had a reputation as an engineering firm, willing to spend an extra dollar – or few million dollars – to make a safer aircraft.
Robison identifies the turning point as Boeing’s 1997 merger with McDonnell-Douglas. This marriage of storied companies resulted in the rise to power of Harry Stonecipher, a Jack Welch protégé. Stonecipher and his McDonnell Douglas crew – referred to as “hunter killer assassins” – decided that Boeing was bloated and inefficient. He culled and slashed, boosting the stock price while getting rid of longtime employees, outsourcing supplies, moving plants to non-union states, and putting important aeronautical decisions into the hands of guys with MBAs. He also made everyone send emails in “all-caps,” which is just unspeakable. Helped along by a neutered FAA – which began paying bonuses to regulators who helped their “clients” meet deadlines – the stage was set for the inevitable.
The fallout from the two crashes is also covered in depth. Boeing very well might have escaped after the Lion Air crash, taking advantage of their low-income victims to pay off the families. The second crash, though, killed people who had access to microphones, including a woman related to Ralph Nader himself. Wielding bullhorns instead of slings, numerous Davids went after Goliath, with some success.
Of course, this is not a fairy tale. When Dennis Muilenburg finally got axed, he received over $60 million in parting gifts, which does not exactly feel like justice.
***
Flying Blind does a good job of combining mechanical explanations, solid business writing, and interpersonal drama. Reading it, I felt like I understood the nature of the engineering issues related to non-redundant systems, the concept of stock-buybacks, and also the personal motives of culpable Boeing officers, who decided it was more important to keep their jobs than blow the whistle. The momentum Robison builds eventually falters a bit towards the end, as the MAX disasters get overwhelmed by the COVID-19 pandemic.
Of course, it’s hard to fault Robison for failing to find the right literary conclusion, when there is none to be found in reality. None of the responsible parties went to jail. The man most blameworthy left with a severance sufficient to spend a few dozen lifetimes on a tropical island. Congress managed to tweak the law so that the FAA no longer works for airplane manufacturers, but corporatism is still alive and well.
***
When big businesses are critiqued, the inevitable response is that a “corporation is not a charity.” That is absolutely true. In point of fact, I would go so far to say that a corporation is not anything. It is a figment of our collective imaginations. It is a legal fiction. It does not inhere in the natural world; its existence is not prescribed on a stone tablet given to us by an ancient prophet.
Despite being nothing more than a construct, a 21st century American corporation is imbued with all the constitutional rights of a person, and none of its individual responsibility. Meanwhile, the men and women controlling this made-up entity are almost entirely shielded from both criminal and civil liability. Until this is changed – which requires not a pitchfork, but a pen – planes will continue to crash for avoidable reasons; rivers, fields, and skies will continue to be polluted; important regulations will continue to be removed; politicians will continue to be purchased; and once-solid companies will continue to be gutted for short-term gain.