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We die.
When I was in engineering school, I was lucky enough to have a based professor. He would start lessons by describing a tragedy. A paraplegic burns to death in a stairwell, another cracks their skull after being pushed down the stairs. He would then show us solutions to these issues from long before the tragedy. Slides to carry you down, bags you sit in and use the rails as a slide. Fire safe rooms that you could shelter in and can be accessed from the outside.
This also does not simply affect us disabled fucks. Say there is an earthquake, and you shatter a leg, or worse, your hip. You are now in the same stairwell as the rest of us.
Also, god help you if you're overweight. When my legs stopped working, I gained 200lbs. I knew then and know now that if I am in a burning building, I will be the last one out, if I get out.
They could design the stairwell like in a cartoon so that the steps go diagonal to make the entire thing a one-way slide.
Then you can go wheeee! during a fire escape.
Emergency slides are a thing at some places, unfortunately usually only in places that focus on people with disabilities. I was at a vocational school that focused on people with disabilities for my training as a programmer, and all the buildings had spiral slides in the stairwells. The bonus was that you could also just use them as slides when moving down.
We are getting closer to the Futurama future where everyone gets around using pneumatic tubes.