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What's the way to hold someone accountable for negligently and knowingly killing 10% of an entire city?

Well, to be fair, only 10% of the people who actually get the disease die from it. 10% of Flint's population didn't die from it.

But to answer your question, someone is the distinct word there. Currently we have corporations that are backed and covered by government. Then we have government itself. No individual/someone. No accountability, because there can't be any when you can have hundreds of people all pointing their fingers at everyone else.

If I (personally) owned a company that willingly killed a lot of people, you can be rest assured I (personally) would be held responsible.