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High Risk And High Stakes

Overview

Wysong analyzes the nature and extent of the involvement of seven major health and safety professional organizations in the development of the most significant national reform effort in occupational health policy since the OSH Act of 1970: The High Risk Occupational Disease Notification and Prevention Act.

The professions have long been a focus of study in sociology; however, this is the first book to examine how the interests and involvement of health professional's ...

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Overview

Wysong analyzes the nature and extent of the involvement of seven major health and safety professional organizations in the development of the most significant national reform effort in occupational health policy since the OSH Act of 1970: The High Risk Occupational Disease Notification and Prevention Act.

The professions have long been a focus of study in sociology; however, this is the first book to examine how the interests and involvement of health professional's organizations on a national health policy issue are linked to external interests and dynamic contextual factors. By illuminating how professional societies' policy choices are embedded within and shaped by economic and political contexts, Wysong refines prevailing new class interpretations of professionals' interests where policy reforms are concerned. This book will be of particular concern to scholars and researchers involved with medical sociology, the sociology of work, complex organizations, social change, and occupational health policy.

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Product Details

Meet the Author

EARL WYSONG is Assistant Professor of Sociology at Indiana University at Kokomo.

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Table of Contents

Foreword
Preface
1 Professional Societies and Policy Issues
Occupational Health Policy: Ideals and Realities 1
Professional Societies: A History of Neglect 2
Professions, Professionals, and Focal Actors 4
High Risk Legislation 5
Recurring Issues and Themes 5
Overview 14
2 Organizations, Theory, and Health Policy
Introduction 17
Organizational Behavior and Structure 18
Organizational Behavior: A Political Model and Hypotheses 21
Structural Linkage Factors 23
Association Policy and Resource-Commitment Decisions 27
Methods and Data 29
3 Risk Notification: Concept and Policy
Pre-OSHA 33
The OSH Act 35
Post-OSHA 35
Stalemate at OSHA 37
The 1977-1980 Period 39
The Early 1980s 40
1984 as a Turning Point 42
4 High Risk Legislation: 1985-88
Development of H.R. 1309 45
Economic Redistributive Effects: The Business Perspective 47
Economic Redistributive Effects: The Labor Perspective 48
Ideological and Political Redistributive Effects 49
Professional Societies and the Policy Process 51
The Political Context and High Risk Bills After 1985 53
5 The Focal Actors: Descriptions, Linkages, and Analysis
Introduction 65
Selected Characteristics of the Focal Actors 66
Association Policy-Making Processes 69
Assessment of the Research Hypotheses 72
Conclusions 75
6 Case Narratives: Four Who Played
Introduction 79
American Association of Occupational Health Nurses 80
American Public Health Association 84
American Medical Association 88
American Conference of Governmental Industrial Hygienists 92
7 Case Narratives: Three Who Passed
American Society of Safety Engineers 99
American Occupational Medical Association 102
American Industrial Hygiene Association 105
8 Summary and Conclusions
On Neglecting Workers and Reporting the Obvious 111
Case Narratives and Hypotheses: A Reconsideration 113
Recurring Issues and Themes 115
Professions, Policy, and the Problem of Theory 122
Concluding Remarks and Observations 124
Acronyms 129
Notes 131
References 147
Index 165
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