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EmploymEnT, woRk, and hEalTh inEqualiTiEs - a global perspective<br />

in many instances. These are the three major setbacks to poor countries<br />

pursuing a neo-liberal economic framework.<br />

These impediments are further exacerbated by a series of<br />

exogenous factors, multiplying the scale of the problem. elaborate<br />

supply chains obfuscate the ultimate producer of goods and services in<br />

ways that help perpetuate work arrangements that often parallel the<br />

exploitation of vulnerable workers (women, children, and foreign-born<br />

workers) in wealthy countries over 100 years ago<br />

(Quinlan, Bohle, & Mayhew, 2001). furthermore,<br />

corporate interests, predominantly neo-liberal policy<br />

instruments such as the World Bank, World Trade<br />

organisation (WTo), and the international Monetary<br />

fund (iMf), and the governments of some wealthy<br />

countries providing aid have in general not been<br />

sympathetic to the expansion or upgrading of social<br />

protection frameworks within poor countries. it cannot<br />

be presumed that most poor countries will fol<strong>low</strong> the<br />

“dignified work for everyone, everywhere”. may 1st path of wealthy countries over the past century in<br />

demonstration in Barcelona (spain).<br />

terms of labour market intervention and social<br />

source: antonio rosa (2008)<br />

protection. While a scaled-back welfare state persists<br />

in wealthy countries (Taylor-Gooby, 2008), these policy interventions are<br />

diminishing with the fading of labour union influence.<br />

The organised labour movement that played a critical role in<br />

encouraging this social protection in the first place (in conjunction<br />

with the political crises and depressions of the 1890s and 1930s) has<br />

been in decline and/or suppressed completely in some poor<br />

countries (Betcherman, luinstra, & ogawa, 2001), further<br />

facilitating the changes of the neo-liberal regime. The international<br />

wave of resistance to neo-liberalism has led, however, to significant<br />

mass strikes and protests in many countries. an analysis of<br />

workers' movements and struggle on a world scale, over the course<br />

of a century and within the totality of global capitalism, shows that<br />

workers in different places are linked by the global division of labour<br />

and the international state system. When capital organises a<br />

profitable strategy, it produces resistance, generating new<br />

strategies of accumulation, and hence new forms of resistance<br />

(silver, 2003) (see case study 69).<br />

case study 69. trade unionism, working conditions and social inequalities in health. - laurent vogel<br />

From its very start, trade unionism has faced the need to work out a policy addressing workers’ health, as this was<br />

affected by job-site physical activities. at the dawn of the industrial revolution, since workers were building the<br />

consciousness of being a class with specific interests within capitalist society, the physical aspect of that separate existence<br />

was beyond any doubt. the earliest systematic descriptions of the working world emphasise the many changes wrought<br />

upon the body by employment conditions. observers from hygienists like villermé to radical campaigners like engels, with<br />

300

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