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EmpLoymEnT, work, And HEALTH inEquALiTiES - a global perspective<br />

"The government must understand that<br />

immigrants do all the jobs that people<br />

here don't want to do, so they are not<br />

useless and they contribute enormously to<br />

the economy."<br />

source : Joseph rowntree Foundation.<br />

people in <strong>low</strong>-paid infromal work. need<br />

not greed. Kagezy, 30, hospital porter, works<br />

on “borrowed papers” waiting for asylum.<br />

workers from joining the unions. Several countries, moreover,<br />

prohibit strike action in EPZs.<br />

In the last few decades, capitalist globalisation has expanded economic<br />

migration, transforming the lives of hundreds of millions of people around<br />

the globe. In many countries, economic migrants meet the demand for<br />

flexible labour. Often labour markets are unable to provide workers who are<br />

either flexible or mobile enough and prepared to accept precarious<br />

employment conditions with long hours for <strong>low</strong> pay. Fleeing poverty, war, or<br />

unemployment, workers migrate away from their families and<br />

neighbourhoods to serve as a labour force in rich countries and send capital<br />

in the form of remittances back to impoverished communities around the<br />

world (see Case study 13). neoliberal economic policies (and agencies like<br />

the World Trade Organization, WTO) are also trying to create a new<br />

international guest worker system, guiding the f<strong>low</strong> of migrants on a global<br />

basis in order to fulfill corporate labour needs (Quinlan, Mayhew, & Bohle,<br />

2001; Toh & Quinlan, 2009). The General agreement on Trade in Services<br />

(GaTS) has identified four modes of trade in services. The Mode 4 proposal<br />

made by the WTO in Hong Kong in 2005 dealt with the temporary movement<br />

of persons, i.e., when independent service providers or employees of a<br />

multinational firm temporarily move to another country. Mode 4 refers to<br />

persons working abroad, but only to a very restricted category of migrants.<br />

It only covers suppliers of services and the temporary movement of workers,<br />

as GaTS excludes "natural persons seeking access to the employment<br />

market" and "measures regarding citizenship, residence or employment on<br />

a permanent basis".<br />

Case Study 10. How does a production sector make social inequalities in health worse - laurent vogel<br />

the growing internationalisation of production sectors has become more apparent in recent decades. not many of the things<br />

we consume are produced entirely in one country nowadays. the organisation of production is creating wide health inequality gaps.<br />

this is fairly common knowledge where agricultural commodities and raw materials exported to industrialised countries are<br />

concerned. sugar has always left a bitter taste in the mouths of the generations of slaves who worked the plantations and the farm<br />

labourers who came after them. asbestos production is a well-publicised health disaster, but its calamitous effects have differed widely<br />

by social class. it has left the well-to-do relatively unscathed and slain hundreds of thousands of miners, workers in the building trades,<br />

textiles and other sectors of the manufacturing industry. these wide class differences are even more striking when looked at on a world<br />

scale. asbestos is now mostly used in countries where workplace health and safety standards are very <strong>low</strong>. it is currently used mostly<br />

in asia and, to a lesser extent, latin america and africa, while it has almost entirely vanished from europe, north america and oceania.<br />

the electronics industry has contributed significantly to the trend towards worsening global social inequalities in health. computers<br />

and mobile phones are everywhere; what daily activities get done without the use of some electronic device yet the familiarity of<br />

technology that is all around us shrouds the physical reality of the production process in even greater obscurity. the devices seem so<br />

light, toylike, outside the realm of hard matter, that we perceive the work embodied in them as pure intellect or information. this illusion<br />

of dematerialised technologies masks the exploitation of the workers that produce them and the widespread health damage that results.<br />

a network of activist researchers, trade unionists, and environmental groups has gradually coalesced since the late 1970s.<br />

From california's silicon valley to scottish semiconductor circuit assembly workers, from the maquiladoras that assemble tv sets<br />

in mexico to the taiwan labourers suffering chemical pollution diseases, the network links together dozens of groups and<br />

movements who have not resigned themselves to "paying the price of progress." the pooled research of these groups is showing<br />

us how the international division of labour in the electronics production sector is converted into mass inequalities. not all those<br />

involved in the production process are exposed to the same risks, any more than they have the same access to preventive health<br />

and health protection provision. an entire production cycle can be tracked and seen to have unequal effects between genders and<br />

countries depending on the political and social conditions and the intensity of workers' resistance.<br />

130

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