Diseases of White Collar Workers

REVERSIONARY ANNUITIES AS APPLIED TO THE EVALUATION OF LAW AMENDMENT FACTORS

Abstract

HE STATUS of a prisoner with respect to his rights under the workmen's compensation laws is one of exceptional interest, particularly at the present time when recent legislation and the increased use of convicts in connection with the war effort have served to focus attention upon the subject. The compensation problems of the prisoner are mainly concerned with whether he is an employee under the workmen's compensation law and, if so, whether he has a right to prosecute a claim for benefits before state and federal commissions. Stated more concisely, these are questions of the prisoner's status (1) as an employee, and (2) as a litigant. I. Status As Employee

Article1 April 1943PROBLEMS OF PROOF IN CLAIMS FOR RECOVERY FOR DERMATITISLOUIS SCHWARTZLOUIS SCHWARTZSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-18-4-500 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWorkmen's compensation laws are designed for the purpose of reimbursing the worker for loss of earnings and cost of medical care resulting from occupational injuries or occupational diseases. This immediately brings up the question of a definition of an occupational disease.Many definitions have been given and, as is the case with most definitions, objections can be made to all of them. Among those suggested are the following:1. An occupational disease is one which occurs as a result of exposure to a recognized specific occupational hazard. It must have the accepted physical signs and symptoms of the specific disease...Bibliography1. SAPPINGTON CO: Medicolegal phases of occupational diseases, 1939, Industrial Health Book Company, Chicago. Google Scholar2. HUSSEY R: Workmen's compensation and medicine, Med. Clin. N. A., 1942, W. B. Saunders Co., Philadelphia, pp. 1035-1051. CrossrefGoogle Scholar3. TULIPAN L: Toilet-seat dermatitis, Indust. Med., 1940, ix, 303. Google Scholar4. Proceedings of the First Meeting of the Consulting Staff of the Dermatoses Investigations Section: April 20-21, 1942 (unpublished) Google Scholar5. SCHWARTZ L: Sensitivity to external irritants in industry, New York State Jr. Med., 1936, xxxvi, 1969-1976. Google Scholar6. DORLAND WA: The American illustrated medical dictionary, Eighteenth Edition, 1940, W. B. Saunders Co., Philadelphia. CrossrefGoogle Scholar7. SCHWARTZ L: Allergic occupational dermatitis, Jr. Allergy, 1940, xi, 318. Google Scholar8. SCHWARTZTULIPAN LL: A text book of occupational diseases of the skin, 1939, Lea and Febiger, Philadelphia. Google Scholar9. Personal communication from National Retail Drygoods Association. Google Scholar10. SCHWARTZ L: An outbreak of dermatitis from resin fabric finishes, Jr. Am. Med. Assoc., 1940, cxv, 906-994. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Bethesda, Maryland*Received for publication February 2, 1943.From the Division of Industrial Hygiene, Dermatoses Investigations Section, National Institute of Health.†Medical Director, U. S. Public Health Service. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1943Volume 18, Issue 4Page: 500-517KeywordsMedical servicesPrevention, policy, and public healthSigns and symptomsSkin diseases ePublished: 1 December 2008 Issue Published: 1 April 1943 PDF downloadLoading ...

While electorates and governments struggle to assess the difficult technical and political issues of nuclear armament and, especially, the testing of such weapons, the radiation hazard of industrial uses of atomic products has become a fact for an increasing number of workers. Industrial applications of radioactive isotopes and nuclear energy are multiplying rapidly and the number of workers exposed to the risk of illness and death from such sources also appears to be increasing. Under private use, workers injured and disabled by radiation must seek the protection of state workmen's compensation laws for medical and economic rehabilitation. In this discussion, the author examines the reasons for growing concern over radiation as an occupational hazard and analyzes four basic issues which radiation disease presents for state workmen's compensation laws. In general, he finds that only a few of these laws approach recommended standards of protection; under a number of laws, workers injured by exposure to radiation actually receive protection and benefits less favorable than those available to the victims of more conventional industrial accidents and disease. (Author's abstract courtesy EBSCO.)

The unusual circumstance of a substantial decrease in the level of workers' compensation benefits for a well-defined group of employees permitted investigation of the relationship between benefit levels and injury rates. It was found that lower benefit levels were associated with a significantly lower frequency of injuries. There was no significant relationship between benefits and injury severity. The nature of the quasi-experimental data allows the inference that it was the benefit level change that brought about the change in frequency rates rather than the reverse. Workers' compensation has two important social functions. It is intended to provide income and medical security for injured workers and prevention incentives for employers [9]. Assessing the achievment of the security goal has always been relatively straightforward in that one need only measure the benefits paid to injured workers and compare them with whatever standard of adequacy is deemed appropriate [1]. Until quite recently, however, the contribution of workers' compensation to safety incentives has been a matter of speculation rather than analysis. Complex issues of causation, data availability, and statistical methodology long kept the prevention issue from being systematically addressed. Beginning with the National Commission on State Workmen's Compensation Laws (1972) and spurred along by the dramatic changes in workers' compensation during the 1970s, a program of research has begun to examine the role of workers' compensation in encouraging prevention [2,4,6,9]. It is the purpose of this paper to further understanding of the safety incentives of workers' compensation by analyzing data covering the previously unexplored circumstance of a decline in workers' compensation benefits. James R. Chelius is Associate Professor in the Institute of Management and Labor Relations at Rutgers University. He earned the Ph.D. degree at the University of Chicago. A former Director of the Occupational Safety and Health Center at Rutgers, he currently serves on a GAO Panel studying the veteran's disability system. Dr. Chelius authored Workplace Safety and Health: The Role of Workers' Compensation and edited Current Issues in Workers' Compensation. Karen Kavenaugh earned the M.S. degree in Industrial Relations and Human Resources at Rutgers University. This content downloaded from 157.55.39.127 on Wed, 29 Jun 2016 05:22:45 UTC All use subject to http://about.jstor.org/terms 316 The Journal of Risk and Insurance Workers' Compensation Safety Incentives Since the debate over the initial passage of workers' compensation laws at the beginning of this century, it has been asserted that an employer's automatic liability for work injuries would encourage greater attention to prevention. The predefined visible penalty of having to pay workers' compensation benefits has been thought to yield a greater incentive than the potentially large but uncertain liabilities of the previously used tort mechanism. The scant empirical evidence on this issue indicates that the introduction of workers' compensation was indeed associated with a lowering of industrial death rates [5]. It follows from the same rationale that the level of compensation benefits might influence the extent to which employers are willing to invest in prevention. Higher benefits would seem to yield a greater incentive for prevention. The presence of compensating wage differentials for risk, however, makes the relationship between benefits and incentives less straightforward. To the extent workers' compensation benefits merely substitute for wage premiums that otherwise would have been paid, a larger benefit simply changes the manifestation of the safety incentive rather than its magnitude. While there is some evidence of an offset between wages and workers' compensation benefits in the non-union sector [7], it is not so widespread or perfect so as to eliminate the potential relationship between benefit levels and employer safety incentives. The relationship between benefit levels and safety is also complicated by the impact of workers' compensation on employees. Just as a higher benefit increases the cost of an accident to the employer, it decreases that cost to the employee. A higher workers' compensation benefit thus may give less prevention incentive to employees. Since both employers and employees have a role in accident prevention, it is impossible theoretically to determine whether higher benefits cause the net level of accidents to be higher or lower. In practice the impact of higher benefit levels is further confounded because such benefits give employees an incentive to report real or imagined injuries that would go unreported if benefits were lower. While theoretically ambiguous, the empirical evidence on benefit levels and safety has been quite consistent. Studies of this relationship indicate that higher benefits are associated with higher levels of reported injuries [2,4,6,9]. This does not necessarily mean that employers are not encouraged to greater prevention efforts by higher benefits. It merely indicates that the influence of benefit levels on employee behavior is greater than their influence on employer behavior. Many uncertainties remain, however, as to the exact nature of this relationship. It is sometimes asserted, for example, that the positive relationship between benefits and injuries is due to high injury rates causing high benefit levels rather than the reverse the hypothesis being that high levels of injury cause governments to enact high benefit levels. Whether the This content downloaded from 157.55.39.127 on Wed, 29 Jun 2016 05:22:45 UTC All use subject to http://about.jstor.org/terms Workers' Compensation and the Level of Occupational Injuries 317 high injury rates associated with high benefits are due to more real injuries or simply more reported injuries is also a controversial issue. The unusual circumstance of a decline in workers' compensation benefits in a quasiexperimental setting provided an opportunity to analyze the robustness of the positive relationship between benefits and injury rates. The data also allow for some insight into the causal nature of the relationship as well as the type of injury most influenced by benefit levels.

This is a record of the proceedings of a committee appointed by the Cincinnati Chamber of Commerce to investigate workmen's compensation laws and insurance carriers. The investigation extended over practically the entire United States and into the Dominion of Canada. A verbatim report of evidence taken by the committee and copies of briefs filed with it cover almost a thousand pages. Of conditions found, the committee says: "We are compelled to believe, after our extensive investigation, that there are entirely too many accidents occurring in industry; that the length of disability could be measurably decreased; that the reclamation of the industrial cripple has been hardly touched; and that the level of benefits is not entirely adequate." The committee reported no conclusions or recommendations with respect to the freedom of choice of physicians by injured workmen. Testimony regarding the medical relations of workmen's compensation acts is scattered through the general mass

Master and Servant. Injury to Servant. Occupational Disease Held Not Actionable as "Injury" under Workmen's Compensation Law

It is just about fourteen years since I made my first voyage of exploration into the lead trades, as a member of a commission appointed by Governor Deneen to study occupational poisoning in the state of Illinois. Fourteen years is not very long, but in that time many changes can come, and in American industry many have come. In 1910 there was no workmen's compensation law, and the damages paid to injured employees were for accidental injuries, not for illness. No employer was held responsible for lead poisoning in his working force, and, in consequence, few of them knew there was such a thing, and the physicians who did know kept the knowledge to themselves. In 1910, the American Medical Association had never held a formal session on the subject of occupational diseases. That happy state of ignorance has vanished; there is fairly general information as to lead poisoning in

The authors develop a deterministic model to review several factors influencing workers' compensation costs and the decision to self-insure. Variables examined include magnitude of losses, the relationship between primary and excess losses, differences in costs among states, interest rates, wage rate increases, and loss payout patterns. The study shows the effect that a given change causes. It provides evidence that suggests that firms with relatively low primary losses would be more likely to insure. Also, relatively short payout schedules and low interest rates favor the decision to insure. Sensitivity Analysis of Workers' Compensation Costs Workers' compensation has been a major commercial line of insurance for many years. It has become even more important since the National Commission of State Workmen's Compensation Laws published its report in 1973. This report made numerous recommendations to increase the level and scope of workers' compensation benefits. Besides making the recommendations, it threatened to create and make federal standards applicable to all states if actions were not taken by the states to improve their laws. As a direct result of the commission's work, the state workers' compensation laws have been modified to give more persons coverage and have increased benefits. This action, coupled with high rates of inflation, has caused the cost of workers' compensation to skyrocket the last several years. Insurance premium rates have been escalating and yet they still are inadequate. Employers are concerned because the already high rates face the possibility of further increases. For this reason, alternative plans of action including loss retention are being investigated. Purpose. The objective of this paper is to develop a deterministic model that can be used to examine various factors that affect workers' compensation costs. Some of the factors investigated include the relationship between primary and excess losses, differences in benefits among states, interest rates, wage rate increases, and loss payout patterns. The purpose of these sensitivity

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