>From the March 2010 Atlantic, an article by by Don Peck on "How a New Jobless 
>Era Will Transform America",

Ed



      Strong evidence suggests that people who don't find solid roots in the 
job market within a year or two have a particularly hard time righting 
themselves. In part, that's because many of them become different-and 
damaged-people. Krysia Mossakowski, a sociologist at the University of Miami, 
has found that in young adults, long bouts of unemployment provoke long-lasting 
changes in behavior and mental health. "Some people say, 'Oh, well, they're 
young, they're in and out of the workforce, so unemployment shouldn't matter 
much psychologically,'" Mossakowski told me. "But that isn't true."

       

      Examining national longitudinal data, Mossakowski has found that people 
who were unemployed for long periods in their teens or early 20s are far more 
likely to develop a habit of heavy drinking (five or more drinks in one 
sitting) by the time they approach middle age. They are also more likely to 
develop depressive symptoms. Prior drinking behavior and psychological history 
do not explain these problems-they result from unemployment itself. And the 
problems are not limited to those who never find steady work; they show up 
quite strongly as well in people who are later working regularly.

       

      Forty years ago, Glen Elder, a sociologist at the University of North 
Carolina and a pioneer in the field of "life course" studies, found a 
pronounced diffidence in elderly men (though not women) who had suffered 
hardship as 20- and 30-somethings during the Depression. Decades later, unlike 
peers who had been largely spared in the 1930s, these men came across, he told 
me, as "beaten and withdrawn-lacking ambition, direction, confidence in 
themselves." Today in Japan, according to the Japan Productivity Center for 
Socio-Economic Development, workers who began their careers during the "lost 
decade" of the 1990s and are now in their 30s make up six out of every 10 cases 
of depression, stress, and work-related mental disabilities reported by 
employers.

       

      A large and long-standing body of research shows that physical health 
tends to deteriorate during unemployment, most likely through a combination of 
fewer financial resources and a higher stress level. The most-recent research 
suggests that poor health is prevalent among the young, and endures for a 
lifetime. Till Von Wachter, an economist at Columbia University, and Daniel 
Sullivan, of the Federal Reserve Bank of Chicago, recently looked at the 
mortality rates of men who had lost their jobs in Pennsylvania in the 1970s and 
'80s. They found that particularly among men in their 40s or 50s, mortality 
rates rose markedly soon after a layoff. But regardless of age, all men were 
left with an elevated risk of dying in each year following their episode of 
unemployment, for the rest of their lives. And so, the younger the worker, the 
more pronounced the effect on his lifespan: the lives of workers who had lost 
their job at 30, Von Wachter and Sullivan found, were shorter than those who 
had lost their job at 50 or 55-and more than a year and a half shorter than 
those who'd never lost their job at all.


--------------------------------------------------------------------------------


       

  ----- Original Message ----- 
  From: Gail Stewart 
  To: RE-DESIGNING WORK, INCOME DISTRIBUTION,EDUCATION 
  Sent: Thursday, February 25, 2010 10:54 AM
  Subject: Re: [Futurework] At Closing Plant, Ordeal Included Heart Attacks


  Arthur,

  We might consider too the effects on spouses and children, including school 
performance and the way in which the "social determinants of health" affect 
most heavily the disadvantaged and can cause further disadvantage. Indeed these 
"social determinants"  greatly outweigh, I understand, the effects of genetics 
and lifestyle. See http://www.who.int/social_determinants/en/. 

  There is a fascinating history to this work (Wilkinson and the British civil 
service) engagingly presented by Monique Begin to a Canadian Senate Committee 
(Social Affairs, Science and Technology) on February 22, 2007.

  We are far from having absorbed these relatively recent findings about social 
determinants into our understandings and policies. They will transform the "job 
market" if we do -- indeed such concepts as a "living wage" and the health 
risks associated being an "employee" are just the tip of it iceberg of change. 
Where we used to worry about the stress on executives, it is now clear that 
that is not the main health issue and cost involved for society -- it is stress 
on the those with less control over their lives working in the hierarchies of 
our institutions. 

  Or so I am told. I am no expert in this but it is a developing field of 
research that seems well worth looking into by those of us interested in 
re-designing work. (I apologize if this has already been a subject of attention 
on this list.)

  Gail
    ----- Original Message ----- 
    From: david crane 
    To: RE-DESIGNING WORK, INCOME DISTRIBUTION, EDUCATION 
    Sent: Thursday, February 25, 2010 10:09 AM
    Subject: Re: [Futurework] At Closing Plant, Ordeal Included Heart Attacks


    Arthur - indeed, not surprising. Research after the collapse of British 
manufacturing due to high exchange rate for pound in Thatcher years found 
significant increase in heart attacks, use of prescription pharmaceuticals and 
other indicators of stress. Likewise, research in Eastern Europe and Russia 
following collapse of Soviet Union showed an actual decrease in the life 
expectancy of males following economic collapse.  These kinds of economic 
events greatly increase stress which, in turn, contributes to heart attacks and 
other negative health outcomes. David Crane
      ----- Original Message ----- 
      From: Arthur Cordell 
      To: 'RE-DESIGNING WORK, INCOME DISTRIBUTION,EDUCATION' 
      Sent: Thursday, February 25, 2010 9:39 AM
      Subject: [Futurework] At Closing Plant, Ordeal Included Heart Attacks


      A not surprising finding.

       

      ====================================

       

       

      February 24, 2010  NY Times

      At Closing Plant, Ordeal Included Heart Attacks
      By MICHAEL LUO
      The first to have a heart attack was George Kull Jr., 56, a millwright 
who worked for three decades at the steel mills in Lackawanna, N.Y. Three weeks 
after learning that his plant was closing, he suddenly collapsed at home. 

      Less than two hours later, he was pronounced dead. 

      A few weeks after that, a co-worker, Bob Smith, 42, a forklift operator 
with four young children, started having chest pains. He learned at the 
doctor's office that he was having a heart attack. Surgeons inserted three 
stents, saving his life. 

      Less than a month later, Don Turner, 55, a crane operator who had started 
at the mills as a teenager, was found by his wife, Darlene, slumped on a love 
seat, stricken by a fatal heart attack. 

      It is impossible to say exactly why these men, all in relatively good 
health, had heart attacks within weeks of one another. But interviews with 
friends and relatives of Mr. Kull and Mr. Turner, and with Mr. Smith, suggest 
that the trauma of losing their jobs might have played a role. 

      "He was really, really worried," George Kull III said of his father. 
"With his age, he didn't know where he would get another job, or if he would 
get another job." 

      A growing body of research suggests that layoffs can have profound health 
consequences. One 2006 study by a group of epidemiologists at Yale found that 
layoffs more than doubled the risk of heart attack and stroke among older 
workers. Another paper, published last year by Kate W. Strully, a sociology 
professor at the State University of New York at Albany, found that a person 
who lost a job had an 83 percent greater chance of developing a stress-related 
health problem, like diabetes, arthritis or psychiatric issues. 

      In perhaps the most sobering finding, a study published last year found 
that layoffs can affect life expectancy. The paper, by Till von Wachter, a 
Columbia University economist, and Daniel G. Sullivan, director of research at 
the Federal Reserve Bank of Chicago, examined death records and earnings data 
in Pennsylvania during the recession of the early 1980s and concluded that 
death rates among high-seniority male workers jumped by 50 percent to 100 
percent in the year after a job loss, depending on the worker's age. Even 20 
years later, deaths were 10 percent to 15 percent higher. That meant a worker 
who lost his job at age 40 had his life expectancy cut by a year to a year and 
half. 

      Additional investigation is still needed to understand the exact 
connection between job loss and poor health, according to scientists. The focus 
is mostly on the direct and indirect effects of stress. Acute stress can cause 
biochemical changes that trigger heart attacks, for example. Job loss and 
chronic stress can also lead to lifestyle changes that damage health. 

      Studies have, for instance, tied job loss to increased smoking and 
greater chances of former smokers relapsing. Some laid-off workers might start 
drinking more or exercising less. Increased prevalence of depression has been 
tied to both job loss and the development of heart disease. 

      "We're just at the very beginning of studying pathways," said William T. 
Gallo, a professor of epidemiology and biostatistics at Hunter College in New 
York. "We want to find out how we can intervene so we can lessen the effects of 
job loss, or eliminate them." 

      The anxiety among the 260 workers at the ArcelorMittal steel plant in 
Lackawanna, just south of Buffalo, actually began months, even years, before 
the company announced in mid-December 2008 that it was closing. Bethlehem 
Steel, the previous owner, had shut the main steel mill in 1985. After it 
shuttered the coke ovens across the street from the galvanizing mill in 2001, 
two workers committed suicide. 

      Bethlehem went bankrupt in 2003, passing the galvanizing operation on to 
International Steel Group, which merged with ArcelorMittal in 2005. Workers had 
been fighting to preserve their jobs ever since. 

      Even before the plant finally closed last April, Anthony Fortunato, 
president of Local 2604 of the United Steelworkers of America, counted at least 
a half-dozen workers who had coronary problems dating to 2006. 

      A 2009 study led by Sarah A. Burgard, a professor of sociology and 
epidemiology at the University of Michigan, found that "persistent perceived 
job insecurity" was itself a powerful predictor of poor health and might even 
be more damaging than actual job loss. 

      Nevertheless, it was not until after company officials announced that the 
Lackawanna plant was closing that any of the workers actually died from a heart 
attack. 

      The news of the closing hit Mr. Kull hard, according to his family. He 
had always been a drinker, but now he was drinking almost every night and 
seemed depressed. 

      "He was going out and trying to forget about all of this stuff," his son 
said. 

      Mr. Kull, who was 5-foot-8 and a stocky 200 pounds, had a history of high 
blood pressure but had passed his company physical the year before, including a 
stress test. On Dec. 28, 2008, he sat down to watch a Buffalo Bills game and 
have a few drinks. He got up to make dinner but collapsed on the sofa. 

      Weeks later, his co-worker, Mr. Smith, thought he might have pulled a 
muscle while raking snow off the roof when he started having chest pains in 
bed. It did not cross his mind, he said, that he might be having a heart 
attack. He had no problems with his blood pressure, his cholesterol was low and 
he was in decent shape, often playing hockey with his boys on their backyard 
rink. 

      But his wife, Kim, watched as he tossed and turned at night, fretting 
about whether he would find a job that paid as much as his position at the 
mills. When he was still feeling uncomfortable the next day, she made him see a 
doctor. 

      "I think the stress just got to him," she said. 

      Mr. Turner's wife, Darlene, noticed that he was smoking more after he 
learned about the plant closing. He was up to more than two packs a day, from a 
little over a pack. She also saw that he seemed to be laboring more when he 
exerted himself. 

      About the same time, they found out that her hours had been cut at her 
accounting job, to just one day a week. Still, he kept his worries to himself. 
At his funeral she learned from colleagues that he had been asking for Tums at 
work. 

      "My husband was the type of person that just kept everything inside," 
Mrs. Turner said. 

      She came home on Feb. 13, 2009, and found her husband sitting on the love 
seat, his hat and gloves still on. 

      At first she thought he had fallen asleep. 

       









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