Air pressure drops with altitude. At about 10,000 feet, the amount available of oxygen has dropped to a level that some people may have breathing difficulties. By 29,000 feet, the height of Everest, most people will unless they have spent some time acclimatizing. To avoid people passing out or worse at normal flight altitudes there are two options. Either make people wear oxygen masks for the duration of the flight or pressurize the cabin to a level equivalent to a lower altitude.
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