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I think a reasonable fear is that long stretches of exceptional safety could breed complacency and cause aviation companies to feel like they can slack a bit on it.

The same thing happened with vaccines to a large degree, right? A generation grows up without measles, and then they think maybe vaccinating against measles isn't really that important. After all, they never knew anybody who got it, how bad could it be?

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That fear needs to exist all the time about everything. Aviation safety is one of many, food safety, health care, government in general, etc. Becoming complacent will start kill people again at some point. It is called entropy.

Nice analogy.

Successful public health and aviation both require both deep engineering & science, strong top-down policies and enforcement, and robust & knowledgeable on-the-ground personnel.

And of course a public bought-into all of this.

The closest I can think of-prior and surely because I’m a poor student of history—goes back to Roman aqueducts and roads, where so many things had to go right and maintained.

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