The scale of exposure in engineered stone fabrication far exceeds that of traditional stonework. Tyler Jordan, a 31-year-old Missouri man who worked in his family’s stone fabrication shop in Colorado, exemplifies the devastating impact of this disease. The technical challenges of controlling engineered stone dust have led some experts to question whether the material can be fabricated safely under any circumstances. The path forwardMedical and occupational health experts are increasingly calling for the United States to follow Australia’s lead. With roughly 5,000 countertop fabrication workers in California alone, the potential for widespread illness and death looms large.