The Political economy of regulating occupational health: the Ham and Beaudry reports

Abstract. The article examines the content and findings of the report of the Ham Royal Commission on the Health and Safety of Workers in Mines (in Ontario), and the preliminary report of the Beaudry inquiry into health in the Quebec asbestos industry. The reports are analyzed in relation to a case study (on the Matachewan asbestos plant) and in the broader context of the main variables in the political economy of regulating occupational health (and hazardous substances). These variables include the market economy and the production cycle, the role of organized labour, federalism, and the choice of governing instruments, the organizational forms for regulation, the relationships between regulation-making and regulatory compliance, the openness of regulatory processes, and the scientific and laymen's conflicting approaches to evidence and causal knowledge. The analysis suggests that by far the heaviest causal weight in explaining past regulatory inadequacies should be placed on the raw economics of regulating occupational health and on how this has been aided and abetted, by design or by neglect, by interdepartmental jurisdictional conflict. The two reports reinforce the continuing need, intellectually, to link policy with administrative behaviour and to relate both to the Canadian industrial system. Sommaire. L'auteur de cet article examine la teneur et les conclusions du rapport de la Commission royale Ham sur la santé et la sécurité des mineurs (en Ontario) et le rapport préliminaire de l'enquěte Beaudry sur la santé dans l'industrie de l'amiante, au Québec. Il analyse ces rapports en relation avec une étude de cas (une exploitation d'amiante dans la Matachewan) et dans le contexte plus large des différentes variables de l'économie politique régissant la santé au travail (et les produits nocifs). Ces variables comprennent l'économie du marché et les cycles de production, le rǒle de la main d'oeuvre syndiquée, le fédéralisme et le choix des instruments gouvernementaux, les formes institutionnelles de réglementation, les rapports entre l'élaboration des réglements et la façon dont ils sont respectés, l'ouverture du processus de réglementation et les conceptions opposées des scientifiques et des profanes face aux faits et à la connaissance des causes. Il se dégage de cette analyse que les principales causes des carences régle- mentatoires sont les préceptes économiques de la réglementation de la santé au travail et la façon dont, sciemment ou par défaut, les conflits de juridiction départementaux ont joué dans le měme sens. Les deux rapports réitèrent la nécessité constante de relier, intellectuellement, la politique au comportement administratif et d'établir les relations de l'un et de l'autre avec le système industriel canadien.     

The demographic and psychiatric characteristics of 110 personal injury litigants.

One hundred ten litigants who were suing for emotional damages were assessed by the author for medical-legal reasons. Most of the plaintiffs were involved in motor vehicle accidents and suffered from "whiplash" injuries. Semi-structured interviews were used to reach criteria based on DSM-III-R diagnoses. Requests for consultation, on average, came 25 months after the patient's accident. Approximately 70 percent of patients had evidence for continuing physical injuries to account for the physical and emotional symptoms. The most common DSM-III-R diagnoses were psychiatric condition affecting physical illness (N = 56), major depression (N = 27), and somatoform disorder (N = 12). Alternative diagnoses relating the effect of the accident on the patient's life included: emotional reaction to physical condition (N = 29), difficulty coping with developmental tasks (N = 20), severe depression (N = 20), aggravation of normal premorbid personality (N = 18), aggravation of abnormal premorbid personality (N = 14), phobia (N = 7), no permanent effect (N = 12), and independent illness (N = 2). Severe emotional problems and disability are common among litigants. The causes of their suffering are more complex and less poorly understood than is assumed from the pejorative labels that are sometimes applied. Lawyers and the courts need the help of psychiatrists to understand this suffering. Empirical data such as these may lead to better classification systems and improve our understanding and treatment of these patients.     

A Trojan horse: Anti-communism and the war on drugs

This work argues the U.S. War on Drugs is a misnomer. We suggest, instead, that it is secondary to traditional anti-Communist foreign policy concerns. Thus, the war on drugs serves to mask the U.S. counter-intelligence and paramilitary presence abroad.This paper in slightly different form was originally presented at the meeting of the Drug Policy Foundation, Washington, D.C., October 1988.     

Using the tax system to collect fines

In this article we consider the possibility that fines could be collected through the tax and social welfare systems in the same way as higher education contributions and child support payments are currently administered. We argue that the existing system of fine collection and enforcement leads to high default rates and reduces the usefulness of fines as a sanction. We consider a range of models for the implementation of an income-related fine collection system, and discuss their possible implications for issues including judicial independence, the time taken to repay fines and aggregate fine revenue.     

Association of a Mixed Anxiety-Depression Syndrome and Symptoms of Major Depressive Disorder During Adolescence

The relations between an empirically derived syndrome of Anxiety-Depression and an analogue measure of Major Depressive Disorder (MDD) are examined in a longitudinal study of a nationally representative sample of adolescents. Analyses of parents' reports and adolescents' self-reports indicate that there is moderate correspondence between scores on the Anxious-Depressed syndrome and symptoms of the MDD Analogue. Furthermore, scores on the syndrome predicted MDD Analogue symptoms 3 years later with sensitivities ranging from .69 to .71 and specificities from .69 to .93. Meeting criteria for either the Anxious-Depressed syndrome or the MDD Analogue was associated with low social or academic competence and high scores on other syndromes of psychopathology. Implications for integration of empirical/dimensional and categorical/diagnostic approaches are highlighted.     

Federalism and America's Public Works

On 24 February 1988, the National Council on Public Works Improvementsubmitted its final report on the nation's public works to thepresident and the Congress. The report concluded that America'sinfrastructure is not in ruins, as charged by the landmark bookentitled America in Ruins. The report did say, however, thatthe nation's infrastructure is only barely adequate and gettingworse. The council urged the nation to reverse course and givegreater attention to infrastructure renewal and expansion. Inthe council's view, federalism will be a major factor in thesuccess of the needed turnaround. Such change will require sharedresponsibilities involving the federal, state, and local governmentsplus the private sector. Significant changes in the relationshipsamong these actors have made the 1980s a decade of transition,diminishing federal influence on infrastructure issues.     

IMPACT ASSESSMENT AND POLICY FAILURE: THE NUCLEAR WASTE POLICY ACT OF 1982

We examine the role of environmental assessments in the siting process mandated under the ambitious Nuclear Waste Policy Act of 1982. We analyze the effect of these assessments in both the western and eastern United States using the original documents, critiques of the methodology of the assessments, and public comments on the siting process, including a content analysis of hearings in Wisconsin and Maine. We conclude that the major effect of the assessments on the policy process was to stimulate public and state opposition to the Department of Energy's efforts to implement NWPA, leading to what could be called policy failure and a significant redirection of the act by Congress in late 1987. The paper represents an early report of a more comprehensive and ongoing study of the politics of nuclear waste disposal.