Work, Worklessness, and the Political Economy of Health


Book Description

We are told that 'work is good for us' and that ill health is caused by 'individual lifestyles'. Drawing on research from public health, social policy, epidemiology, geography and political science, this evidence-based inter-disciplinary book firmly challenges these contemporary orthodoxies. It systematically demonstrates that work - or lack of it - is central to our health and wellbeing and is the underlying determinant of health inequalities. Work is the cornerstone of modern society and dominates adult life with around a third of our time spent working. It is a vital part of self-identity and for most of us it is the foundation of economic and social status. As such, the material and psychosocial conditions in which we work have immense consequences for our physical and mental wellbeing, as well as the distribution of health across the population. Recessions, job-loss, insecurity and unemployment also have important ramifications for the health and wellbeing of individuals, families and communities. Chronic illness is itself a significant cause of worklessness and low pay. Drawing on examples from different countries, this book shows that the relationship between work, worklessness and health varies by country. Countries with a more regulated work environment and a more interventionist and supportive welfare system have better health and smaller work-related health inequalities. The book provides examples of specific policies and interventions that mitigate the ill-health effects of work and worklessness. It concludes by asserting the importance of politics and policy choices in the aetiology of health and health inequalities.




Men Without Work


Book Description

By one reading, things look pretty good for Americans today: the country is richer than ever before and the unemployment rate is down by half since the Great Recession—lower today, in fact, than for most of the postwar era. But a closer look shows that something is going seriously wrong. This is the collapse of work—most especially among America’s men. Nicholas Eberstadt, a political economist who holds the Henry Wendt Chair in Political Economy at the American Enterprise Institute, shows that while “unemployment” has gone down, America’s work rate is also lower today than a generation ago—and that the work rate for US men has been spiraling downward for half a century. Astonishingly, the work rate for American males aged twenty-five to fifty-four—or “men of prime working age”—was actually slightly lower in 2015 than it had been in 1940: before the War, and at the tail end of the Great Depression. Today, nearly one in six prime working age men has no paid work at all—and nearly one in eight is out of the labor force entirely, neither working nor even looking for work. This new normal of “men without work,” argues Eberstadt, is “America’s invisible crisis.” So who are these men? How did they get there? What are they doing with their time? And what are the implications of this exit from work for American society? Nicholas Eberstadt lays out the issue and Jared Bernstein from the left and Henry Olsen from the right offer their responses to this national crisis. For more information, please visit http://menwithoutwork.com.




Unhealthy Work


Book Description

Work, so fundamental to well-being, has its darker and more costly side. Work can adversely affect our health, well beyond the usual counts of injuries that we think of as 'occupational health'. The ways in which work is organized - its pace and intensity, degree of control over the work process, sense of justice, and employment security, among other things - can be as toxic to the health of workers as the chemicals in the air. These work characteristics can be detrimental not only to mental well-being but to physical health. Scientists refer to these features of work as 'hazards' of the 'psychosocial' work environment. One key pathway from the work environment to illness is through the mechanism of stress; thus we speak of 'stressors' in the work environment, or 'work stress'. This is in contrast to the popular psychological understandings of 'stress', which locate many of the problems with the individual rather than the environment. In this book we advance a social environmental understanding of the workplace and health. The book addresses this topic in three parts: the important changes taking place in the world of work in the context of the global economy (Part I); scientific findings on the effects of particular forms of work organization and work stressors on employees' health, 'unhealthy work' as a major public health problem, and estimates of costs to employers and society (Part II); and, case studies and various approaches to improve working conditions, prevent disease, and improve health (Part III).




Challenging Inequities in Health


Book Description

This text provides a unique view of global inequities in health status and health sytems. Emphasizing socioeconomic conditions, it combines chapters on conceptual and measurement issues with case studies from around the world.




The Struggle Over Work


Book Description

The future of work in advanced industrial democracies is the subject of intense debate and public concern. Despite predictions that working hours would fall and leisure time would rise as society progressed, the opposite has in fact occurred. This new book contains a twofold investigation into 'the end of work' with theoretical and policy angles contributing to the growing research field on the boundaries of economics and sociology.




The Struggle Over Work


Book Description

The future of work in advanced industrial democracies is the subject of intense debate and public concern. Despite predictions that working hours would fall and leisure time would rise as society progressed, the opposite has in fact occurred. This new book contains a twofold investigation into 'the end of work' with theoretical and policy angles contributing to the growing research field on the boundaries of economics and sociology.




Is Work Good for Your Health and Well-being?


Book Description

Increasing employment and supporting people into work are key elements of the Government's public health and welfare reform agendas. This independent review, commissioned by the Department for Work and Pensions, examines scientific evidence on the health benefits of work, focusing on adults of working age and the common health problems that account for two-thirds of sickness absence and long-term incapacity. The study finds that there is a strong evidence base showing that work is generally good for physical and mental health and well-being, taking into account the nature and quality of work and its social context, and that worklessness is associated with poorer physical and mental health. Work can be therapeutic and can reverse the adverse health effects of unemployment, in relation to healthy people of working age, for many disabled people, for most people with common health problems and for social security beneficiaries.




Work and Mental Health in Social Context


Book Description

Anyone who has ever had a job has probably experienced work-related stress at some point or another. For many workers, however, job-related stress is experienced every day and reaches more extreme levels. Four in ten American workers say that their jobs are “very” or “extremely” stressful. Job stress is recognized as an epidemic in the workplace, and its economic and health care costs are staggering: by some estimates over $ 1 billion per year in lost productivity, absenteeism and worker turnover, and at least that much in treating its health effects, ranging from anxiety and psychological depression to cardiovascular disease and hypertension. Why are so many American workers so stressed out by their jobs? Many psychologists say stress is the result of a mismatch between the characteristics of a job and the personality of the worker. Many management consultants propose reducing stress by “redesigning” jobs and developing better individual strategies for “coping” with their stress. But, these explanations are not the whole story. They don’t explain why some jobs and some occupations are more stressful than other jobs and occupations, regardless of the personalities and “coping strategies” of individual workers. Why do auto assembly line workers and air traffic controllers report more job stress than university professors, self-employed business owners, or corporate managers (yes, managers!)? The authors of Work and Mental Health in Social Context take a different approach to understanding the causes of job stress. Job stress is systematically created by the characteristics of the jobs themselves: by the workers’ occupation, the organizations in which they work, their placements in different labor markets, and by broader social, economic and institutional structures, processes and events. And disparities in job stress are systematically determined in much the same way as are other disparities in health, income, and mobility opportunities. In taking this approach, the authors draw on the observations and insights from a diverse field of sociological and economic theories and research. These go back to the nineteenth century writings of Marx, Weber and Durkheim on the relationship between work and well-being. They also include the more contemporary work in organizational sociology, structural labor market research from sociology and economics, research on unemployment and economic cycles, and research on institutional environments. This has allowed the authors to develop a unified framework that extends sociological models of income inequality and “status” attainment (or allocation) to the explanation of non-economic, health-related outcomes of work. Using a multi-level structural model, this timely and comprehensive volume explores what is stressful about work, and why; specifically address these and questions and more: -What characteristics of jobs are the most stressful; what characteristics reduce stress? -Why do work organizations structure some jobs to be highly stressful and some jobs to be much less stressful? Is work in a bureaucracy really more stressful? -How is occupational “status” occupational “power” and “authority” related to the stressfulness of work? -How does the “segmentation” of labor markets by occupation, industry, race, gender, and citizenship maintain disparities in job stress? - Why is unemployment stressful to workers who don’t lose their jobs? -How do public policies on employment status, collective bargaining, overtime affect job stress? -Is work in the current “Post (neo) Fordist” era of work more or less stressful than work during the “Fordist” era? In addition to providing a new way to understand the sociological causes of job stress and mental health, the model that the authors provide has broad applications to further study of this important area of research. This volume will be of key interest to sociologists and other researchers studying social stratification, public health, political economy, institutional and organizational theory.




The Refusal of Work


Book Description

Paid work is absolutely central to the culture and politics of capitalist societies, yet today’s work-centred world is becoming increasingly hostile to the human need for autonomy, spontaneity and community. The grim reality of a society in which some are overworked, whilst others are condemned to intermittent work and unemployment, is progressively more difficult to tolerate. In this thought-provoking book, David Frayne questions the central place of work in mainstream political visions of the future, laying bare the ways in which economic demands colonise our lives and priorities. Drawing on his original research into the lives of people who are actively resisting nine-to-five employment, Frayne asks what motivates these people to disconnect from work, whether or not their resistance is futile, and whether they might have the capacity to inspire an alternative form of development, based on a reduction and social redistribution of work. A crucial dissection of the work-centred nature of modern society and emerging resistance to it, The Refusal of Work is a bold call for a more humane and sustainable vision of social progress.




The Routledge Handbook of the Political Economy of Health and Healthcare


Book Description

This handbook provides a comprehensive and critical overview of the gamut of contemporary issues around health and healthcare from a political economy perspective. Its contributions present a unique challenge to prevailing economic accounts of health and healthcare, which narrowly focus on individual behaviour and market processes. Instead, the capacity of the human body to reach its full potential and the ability of society to prevent disease and cure illness are demonstrated to be shaped by a broader array of political economic processes. The material conditions in which societies produce, distribute, exchange, consume, and reproduce – and the operation of power relations therein – influence all elements of human health: from food consumption and workplace safety, to inequality, healthcare and housing, and even the biophysical conditions in which humans live. This volume explores these concerns across five sections. First, it introduces and critically engages with a variety of established and cutting-edge theoretical perspectives in political economy to conceptualise health and healthcare – from neoclassical and behavioural economics, to Marxist and feminist approaches. The next two sections extend these insights to evaluate the neoliberalisation of health and healthcare over the past 40 years, highlighting their individualisation and commodification by the capitalist state and powerful corporations. The fourth section examines the diverse manifestation of these dynamics across a range of geographical contexts. The volume concludes with a section devoted to outlining more progressive health and healthcare arrangements, which transcend the limitations of both neoliberalism and capitalism. This volume will be an indispensable reference work for students and scholars of political economy, health policy and politics, health economics, health geography, the sociology of health, and other health-related disciplines. Chapters 1 & 8 of this book is freely available as a downloadable Open Access PDF at http://www.taylorfrancis.com under a Creative Commons [CC BY NC ND] 4.0 license.