In Braddock, Pennsylvania – home to America’s first mill for the mass production of steel – more than a third of residents now live beneath the poverty line. How did Braddock go from a steel town to a hospital town to broke?
The pernicious effects of the divided welfare state are well known. Yet its darkest legacy may be how private health care benefits transmuted ill and aging bodies into rich and predictable streams of revenue.
A system of employer-based health benefits created not only a fragmented health care financing structure but also an extremely powerful and consolidated industry that now resists changes to that structure.
Postwar steelworkers and contemporary healthcare workers inhabited strikingly different economic circumstances. Yet in both eras, courts allocated to companies various powers they could use to impose market discipline on workers, thereby facilitating the degradation of work.
What happens when the factory is gone and the working class has been rendered dispersed and invisible? In this post, Gabriel Winant kicks off a symposium on his recent book, The Next Shift: The Fall of Industry and the Rise of Health Care in Rust Belt America.