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INFORME ALTERNATIVO SOBRE LA SALUD EN AMERICA LATINAlity and polyvalence of workers will surely providethe arguments necessary to deny labor causality.c) Labor morbidity will increase notably in those illnessesnot yet recognized as work related pathology.d) It is reasonable to forecast a disproportionate increasein morbidity in highly vulnerable groups ofworkers and their families, directly linked to thesenew working and living conditions. Obviously, atpresent, we can clearly foresee a rise in pathologicalmanifestations derived from violence.e) Deregulation or reduction of labor and social securitynorms are boosting hazardous labor and willsurely trim down, even further, the many collectivedefenses of workers.f) The fight against organized worker participation willlead to less possibilities for transforming and improvinghazardous working conditions and health.6.In the opening of the twenty-first century, despitethe advancement of microelectronics, we cannotcount on information concerning the health conditionsof Latin-American workers, information that is indispensableto evaluate working conditions adequately.The lack of an integral occupational health systemand specific programs concerning labor and healthconditions persists in several of our countries. Legislationon this subject is realistically un-observed. Further,our institutional actions are very limited, dispersed,inclusive, contradictory, and they tend to the limitany evaluation. And the behavior of companies isoriented more toward the reduction of insurance paymentsthan to the improvement of labor conditionsand the surveillance of workers’ health; and lastly, legalprovisions of a preventive nature are not monitored aspart of the inspection actions of institutions such asDepartments of Labor.The neoliberal model is in effect a clearly inefficienthealth care and health security model. Gradually,health care activities are being privatized (and consequentlybecoming increasingly inaccessible to the massof the working population), which in turn leads to avery limited capacity for medical care and treatment,and a decrease or suppression of benefits (indirect wageand social wage). This becomes evident, for example,in the policy of not recognizing work related incapacities(temporal and permanent), invalidities andpensions for unemployment, and oldness or death. Insum, we are denouncing an institutionalized policy oftoleration for a diminished social response to adverseand hazardous working conditions, and their consequentdiverse and long-lasting negative health outcomes.The modification of the policies of public institutionsand companies is indispensable in order forhealth problems of the working population to be recognized.Alternatives can and should be furnished toimprove the working conditions that provoke them.64