As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS.
The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members.
Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others.
J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.

Appalachian Echoes
Thomas E. Douglass, series fiction editor

“Very real and tremendously moving. . . . Not only an obvious brief for the unfortunate but a well told and honest story.” —New York Times

“Hubert Skidmore, a native West Virginian, wrote as a witness from inside the belly of the beast. His gift is for pitch-perfect dialogue, a varied cast of characters, and the calling up of emotion, of anger, fear, dread, and love. To encounter this novel at last is a sort of resurrection, both for its persecuted author and the Depression poor whose lives it evokes.” —Denise Giardina, author of The Unquiet Earth and Storming Heaven

The building of a tunnel at Gauley Bridge, West Virginia, beginning in 1930 has been called the worst industrial disaster in American history: more died there than in the Triangle Shirtwaist Factory fire and the Sunshine and Farmington mine disasters combined. And when native West Virginian Hubert Skidmore tried to tell the real story in his 1941 novel, Union Carbide and Carbon Corporation apparently convinced publisher Doubleday, Doran & Co. to pull the book from publication after only a few hundred copies had appeared.

Now the Appalachian Echoes series makes Hawk’s Nest available to a new generation of readers. This is the riveting tale of starving men and women making their way from all over the Depression-era United States to the hope and promise of jobs and a new life. What they find in West Virginia is “tunnelitis,” or silicosis, a disease which killed at least seven hundred workers—probably many more—a large number of them African American, virtually all of them poor. Skidmore’s roman à clef provides a narrative with emotional drive, interwoven with individual stories that capture the hopes and the desperation of the Depression: the Reips who come from the farm with their pots and pans and hard-working children, the immigrants Pete and Anna, kind waitress Lessie Lee, and “hobos” Jim Martin, “Long” Legg, and Owl Jones, the last of whom, as an African American, receives the worst treatment. This important story of conscience encompasses labor history, Appalachian studies, and literary finesse.

Hubert Skidmore (1909–1946) was the author of five other novels: I Will Lift Up Mine Eyes (1936), Heaven Came So Near (1938), River Rising (1939), Hill Doctor (1950), and Hill Lawyer (1942). He died in a house fire at the age of thirty-seven.