Why risk killing yourself jumping across voids? Me, I personally enjoy the thought of lying at the bottom of an elevator shaft enjoying a slow painful death!
LOL!
I didn't set out to get snarky on the show but I had to laugh at the drawbridge solution and elevator shaft for exactly the reasons you cite: the folly in a World Without Doctors to take those kinds of risks of incurring serious injury.
It was interesting if only to see what skills the producer thought you'd need if you were One of the Last People on Earth.
[note to self: in the event you are One of the Last People on Earth and have to sleep by yourself in creepy rat-infested buildings, pack cyanide]
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