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
American journal of industrial medicine Pub Date : 2026-05-01 Epub Date: 2026-02-28 DOI:10.1002/ajim.70065
Martin Nicol, Jim teWaterNaude, Barry Kistnasamy, Rodney Ehrlich
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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.

通货膨胀、种族和立法——1973-2024年南非矿工职业性肺病货币补偿实际价值的侵蚀
背景:在20世纪的大部分时间里,南非采矿业对尘肺病和肺结核有法定赔偿制度,其特点是严重的种族不平等。本研究考察了1973-2024年期间通货膨胀对矿工肺病补偿实际价值的影响,包括1993年后正式种族歧视减少的影响。方法:信息来源包括立法、政府报告、公告、公报和采矿业报告。结果:从1973年到1993年,高通货膨胀率掏空了所有矿工的薪酬价值,白人矿工的绝对薪酬更高。从1994年起,通货膨胀继续侵蚀补偿支付的实际价值,并且随着所有矿工收入的增加,这些支付所涵盖的年收入百分比也在下降。直到2017年,法定支付金额有一些零星的增加,但用于计算补偿的“允许收益”上限严重限制了任何收益。潜在因素包括,由于法定雇主征税,赔偿基金的资金历来不足,国家赔偿机构的行政混乱,以及未预料到的政治、经济和流行病中断。近年来,财政和行政稳定得到恢复,长期趋势在一定程度上有所扭转。结论:虽然正式的种族隔离种族歧视于1994年结束,但通货膨胀和直到最近的立法停滞,继续使所有患有可补偿的职业性肺病的矿工处于不利地位。该制度目前正在进行立法改革,包括适当的运营资金,以及限制对雇主的民事责任。因此,能否实现和维持一个公平和公平的矿工补偿制度仍然是一个悬而未决的问题。
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来源期刊
American journal of industrial medicine
American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.90
自引率
5.70%
发文量
108
审稿时长
4-8 weeks
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.
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