Why we cannot diagnose? Domyung Paek Seoul, Korea
Personal Background and Context • Academic • Professional • Political • Personal - middle class
Why and Who vs What and How • Why to diagnose? Why not to diagnose? • What is the ultimate goal of diagnosis for various stakeholders? • Who are behind the diagnosis? • Who is the dominating stakeholder of the system? • What to diagnose and How to diagnose?
Not Diagnosis but StudyField work together with clinical workEpidemiology with Social MagnetsYou should have Solutions before Diagnosis How & What to diagnose?
Not Diagnosis but Study • Temporal and Spatial Association
Field work together with clinical work • Listening and understanding • Samsung denies any possibility of exposure, but there are plenty when we listen to workers
Epidemiology with Social Magnets • Snowball sampling • Case-control approaches • Work mate, family members, neighborhoods
Solutions • Political empowerment • Institutionalization • Overcoming cultural bias • Secondary gain, • Moral hazard
OSH DemandsWays to generate OSH DemandsMeasurement and ManagementPrevention vs CompensationLessons for Training Why & Who to diagnose?
OSH Demands • As a way to raise issues of salary raise, employment stability, outsourcing practice, etc. • As a way to raise issues of comfortableness of work and partly health and safety • As a way to raise issues of fair treatment, social justice, and human rights • As a way to divert issues of legitimacy of regime • As a way to divert issues of organized labor force
OSH Demands • Lack of OSH Demands: Pakistan, India(?) • Physicians as “Entrepreneur-like” Activist • Manipulation of OSH Demands: Philippines, Indonesia(?) • Physicians as “Impartial” Gatekeeper • Suppression of OSH Demands: China, Vietnam(?) • Physicians as “Innovative” Professionals
OSH Demands & Workers’ Interest • How to generate workers’ interests in OSH • Right to Know • How to represent workers’ interest in OSH • Right to Choose • How to assemble workers’ interest in OSH • Right to Participate
Measurement and Management • Formal Sectors • Organized • Measured • Managed • (Prevention) • Informal Sectors • Unorganized • Listening • Claimed • (Compensation) Not measured, not managed in formal sectors. However, in informal sectors, no need to be managed, no need to be measured. Need to be managed -> Measured -> Managed
Prevention or Compensation • Prevention becomes first, only when compensation is inevitable. • Without proper compensation, there is no prevention.
Training of Physicians • Lessons on the importance of OSH Demands by workers, and tools for generating, representing and assembling these demands • Lessons on how OSH Demands can contribute to or divert from the solution of OSH problems • Lessons on the stages of social development and appropriate combination of compensation and prevention • Lessons on how to tackle informal sectors and ways to organize and work with various activist groups