Why we cannot diagnose?

Domyung PaekSeoul, 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