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

number of workers were union members, in 2004 collective bargaining<br />

agreements covered about 60 per cent of salaried workers (Eurofound,<br />

2005). Traditionally, the main concerns of spanish trade unions have<br />

been wages, earnings and employment issues. and, more recently,<br />

working conditions, welfare policies and some occupational health<br />

issues have been on their agenda. However, with few exceptions,<br />

employment-related health inequalities have not been specifically<br />

addressed by the spanish trade unions.<br />

During the 80s and early 90s, a number of important macro-level<br />

policies were implemented including the reform of the social security<br />

system, an increase of public funds for social protection, the<br />

implementation of more progressive taxation policies, and the<br />

implementation of a national Health system, with almost universal<br />

coverage and free access. Today, however, the degree of social<br />

protection is still substantially <strong>low</strong>er than the Eu average (20.8% of the<br />

gDp vs. 27.8% in the uE-15 and 27.4% in the uE-25 in 2005). While the<br />

share of social protection devoted to unemployment, old age, and health<br />

care and disability is relatively high, percentages are very <strong>low</strong> with regard<br />

to family/children, housing and social exclusion. public funds for social<br />

protection, the pensions paid by the social security system and the<br />

benefits for illness and unemployment are the main lines of social<br />

protection accounting for about 75 per cent of the total amount of social<br />

expenditures. social security spending is half of the Eu average, and the<br />

social protection system's coverage (16-64 years) has moved from 53.9<br />

per cent in 1994 to 63.8 per cent in 2005.<br />

The prevention of occupational Hazards act (1995) established a<br />

modern and general framework on occupational health that<br />

regulated the general obligations of employers, employees and the<br />

manufacturers and suppliers of machinery and equipment with<br />

regard to the prevention of risk, as well as the consultation and<br />

participation rights of workers and employee representatives. This<br />

law and its corresponding regulations led to the theoretically almost<br />

universal legal protection of health at work and the integration of<br />

prevention into the management structures of companies. The<br />

implementation of this legislation, however, took place in a situation<br />

where companies and the spanish government sought more flexible<br />

forms of labour market organization. Thus, a deep-reaching reform<br />

of labour legislation took place in 1994, fol<strong>low</strong>ed by other successive<br />

reforms seeking the amendment of many of the precepts of the<br />

major labour laws (e.g., the Workers' statute, the labour procedure<br />

act or the labour offenses and sanctions act), including the<br />

adoption of a number of new laws such as an act on temporary<br />

employment agencies, and the revision of regulations on<br />

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