In all honesty, after reading all of that, this guy should not have been driving a semi in the first place if he was known to have such sever diabetic seizures, where his friends described having to restrain him to force orange juice down his throat. So really a lot of blame could be directed at his employer, and or a system that wouldn't do enough background checking to recognise his medical condition.
Either way as sad as it was, that crash was freakin epic, you almost never see vehicles explode like that when they crash.
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