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Trade unions and the restructuring of working class health care in South Africa : case studies in the clothing, leather and transport sectors 1992-1996

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dc.contributor.author Cornell J en
dc.date.accessioned 2016-09-22T06:35:49Z
dc.date.available 2016-09-22T06:35:49Z
dc.date.created 1991 en
dc.date.submitted 1997 en
dc.identifier.uri http://hdl.handle.net/20.500.11892/5703
dc.description.abstract This research, a case study of three sick funds and a more elaborate health insurance scheme, examines the process of restructuring the content and delivery of medical services, and the management of the medical insurance schemes. Recommendations for the reform and expansion of three sick funds for clothing and leather workers focuses particularly on a shift from reliance on contracted doctors to the establishment of a network of neighbourhood-based worker health centres, with medical staff employed directly by the sick funds. The health insurance scheme for workers in the public transport sector is an example of the difficult process of transforming a much more elaborate scheme in a complex multi-union situation. Membership of the transport scheme is more heterogeneous than that of the sick funds with a greater range of income. The argument is that, under certain conditions, trade unions can transform existing arrangements for health care for their members, imprinting a trade union character on both the services and their management. The thesis explores the conditions for success and failure of the projects. These projects raise crucial questions about proposals for mandatory social health insurance. en
dc.language English en
dc.subject Sociology en
dc.subject Industrial sociology en
dc.title Trade unions and the restructuring of working class health care in South Africa : case studies in the clothing, leather and transport sectors 1992-1996 en
dc.type Doctoral degree en
dc.description.degree PhD en


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