The document discusses issues with medium voltage cable systems. It provides historical context on the evolution of cable construction from the 1800s to present day. Key developments include the transition from paper to polymer insulation and the introduction of water tree resistant materials. The document also notes that while cable technology aimed to increase reliability, the process did not always achieve expected benefits, driving the need for cable system diagnostics. Failure rates of early cables are shown in graphs. Various tables outline the generations of cable construction and materials used over time.