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PROLOGUE<br />

contrary to mainstream views, the authors of this book<br />

believe that the genesis of employment and work-related health<br />

inequalities is not a technocratic, value-free process, but rather<br />

a practice that is deeply influenced by political values and the<br />

conflict of interests between owners, management, government,<br />

and workers. since the roots are social, so must also be the<br />

solutions. Although important and necessary to some extent,<br />

technological solutions are limited. the degree of power and the<br />

level of participation that workers have is not only a key factor<br />

for promoting a more egalitarian decision-making process in and<br />

out of firms, but also an essential "protective factor" of workers'<br />

health. We need a more equitable balance of power in<br />

employment relations. We need fair and sustainable<br />

employment. We need fair employment relations within an<br />

ecological democracy. We need to reduce current dramatic<br />

health inequalities.<br />

the instruments to carry out an economic-ecological<br />

reconversion are out there, but we require the political power<br />

capable of instituting new rules for the game, as well as new<br />

criteria for regulating economic-ecological-social activity. As it<br />

does not seem reasonable to expect a resolution of the crisis<br />

from the institutional framework and economic agents that<br />

provoked it, the current crisis is a key opportunity to change the<br />

course of globalisation, to change work in a more ecologically<br />

equitable and fair direction which will improve health for all and<br />

reduce health inequalities.<br />

Vandana Shiva<br />

xxiii

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