Inflation, Race, and Legislation-The Erosion in the Real Value of Monetary Compensation for Miners' Occupational Lung Disease in South Africa, 1973-2024.
IF 2.4 3区 医学Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Martin Nicol, Jim teWaterNaude, Barry Kistnasamy, Rodney Ehrlich
{"title":"Inflation, Race, and Legislation-The Erosion in the Real Value of Monetary Compensation for Miners' Occupational Lung Disease in South Africa, 1973-2024.","authors":"Martin Nicol, Jim teWaterNaude, Barry Kistnasamy, Rodney Ehrlich","doi":"10.1002/ajim.70065","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>For much of the 20th century, the South African mining industry had a statutory compensation system for pneumoconiosis and tuberculosis characterized by gross racial inequality. This study examines the impact of inflation over the period 1973-2024 on the real value of miners' lung disease compensation, including the effect of the dropping of formal racial discrimination after 1993.</p><p><strong>Methods: </strong>Sources of information included legislation, government reports, notices, and Gazettes, and mining industry reports.</p><p><strong>Results: </strong>From 1973 to 1993, high rates of inflation hollowed out the value of compensation for all miners, greater in absolute terms for white miners. From 1994, inflation continued to erode both the real value of compensation payments, and, with the rise in earnings for all miners, the percentage of annual earnings covered by these payments. Until 2017 there were a few sporadic increases in statutory payment amounts, but a cap on \"allowable earnings\" used to calculate compensation severely limited any gain. Underlying factors include historic underfunding of the Compensation Fund via the statutory employer levy, administrative disarray in the state compensation agency, and unanticipated political, economic and epidemic disruptions. Recent years have seen a restoration of financial and administrative stability, with some degree of reversal of long-term trends.</p><p><strong>Conclusions: </strong>Although formal Apartheid racial discrimination ended in 1994, inflation, and until recently legislative stasis, continued to disadvantage all miners with compensatable occupational lung disease. The system is currently undergoing legislative reform-including proper funding of operations but also with limitation on civil liability against employers. The question therefore remains open as to whether a fair and equitable system of compensation for miners will be achieved and sustained.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":"335-344"},"PeriodicalIF":2.4000,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070282/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of industrial medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ajim.70065","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: For much of the 20th century, the South African mining industry had a statutory compensation system for pneumoconiosis and tuberculosis characterized by gross racial inequality. This study examines the impact of inflation over the period 1973-2024 on the real value of miners' lung disease compensation, including the effect of the dropping of formal racial discrimination after 1993.
Methods: Sources of information included legislation, government reports, notices, and Gazettes, and mining industry reports.
Results: From 1973 to 1993, high rates of inflation hollowed out the value of compensation for all miners, greater in absolute terms for white miners. From 1994, inflation continued to erode both the real value of compensation payments, and, with the rise in earnings for all miners, the percentage of annual earnings covered by these payments. Until 2017 there were a few sporadic increases in statutory payment amounts, but a cap on "allowable earnings" used to calculate compensation severely limited any gain. Underlying factors include historic underfunding of the Compensation Fund via the statutory employer levy, administrative disarray in the state compensation agency, and unanticipated political, economic and epidemic disruptions. Recent years have seen a restoration of financial and administrative stability, with some degree of reversal of long-term trends.
Conclusions: Although formal Apartheid racial discrimination ended in 1994, inflation, and until recently legislative stasis, continued to disadvantage all miners with compensatable occupational lung disease. The system is currently undergoing legislative reform-including proper funding of operations but also with limitation on civil liability against employers. The question therefore remains open as to whether a fair and equitable system of compensation for miners will be achieved and sustained.
期刊介绍:
American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.