A new social contract for health

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A new social contract for health

At a time of increased profits and productivity, wages have stagnated for everyday families, pension and health care coverage are declining, and costs are being shifted to workers. People are working harder and smarter, but they are not sharing in the gains from their efforts. Both mothers and fathers are working, yet most workplaces are outdated, forcing parents to choose between being a productive worker or a good family member.

At the same time, America's safety net is being eroded at a time when jobs have become more insecure. Millions of America's working families do not have the necessary means for basic self-sufficiency.

And it looks no better for the next generation. The implicit social contract that governed work for many years—the norm that hard work, loyalty, and good performance will be rewarded with fair and increasing wages, dignity, and security—has broken down and been replaced by a norm in which employers give primacy to stock price and short-term gains often at the expense of America's workers.

The decline in middle-class living standards, the elimination of institutions that support a growing middle class, and the dramatic increase in income inequality experienced in recent years, is not the result of some invisible hand. It is the direct result of policy choices that have undermined the bargaining power of everyday Americans.

Instead of instituting policies in this global economy to ensure a broadly shared prosperity, we have made choices that benefit the few. At the same time, who works, how work is carried out, and the conditions of employment have changed dramatically in recent years, while the public policies, institutions, and practices governing work and employment relations, put in place in the s to fit the industrial economy and workforce of that time, have not kept up.

As a result, the American Dream is slipping away from A new social contract for health of Americans and their families. A majority of Americans now worry their children will not be able to improve on the standard of living they experienced growing up. If this is not the legacy we want to leave the next generation, then we need to start now to put in place forward-looking policies and labor market institutions to build a new social contract tailored to today's workforce, families, and economy.

Towards a New Social Contract for Health and Sustainability: An Introduction | P2P Foundation No Comment Stacco Troncoso read The following article, originally published in Enlivening Edgeis the first in a series of 7 looking at health and healthcare from a commons perspective.
Most Popular Videos At a time of increased profits and productivity, wages have stagnated for everyday families, pension and health care coverage are declining, and costs are being shifted to workers. People are working harder and smarter, but they are not sharing in the gains from their efforts.
A New Social Contract: Restoring Dignity and Balance to the Economy | Agenda for Shared Prosperity

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A New Social Contract: Restoring Dignity and Balance to the Economy | Agenda for Shared Prosperity

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Towards a New Social Contract for Health and Sustainability: An Introduction | P2P Foundation

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A new social contract must build an economy that is strong and durable, but it must also build strong and durable families. It must recognize that we live in a new global economy with increased insecurities and with modern families that in most cases include fathers and mothers in the workplace.

A viable social contract must be grounded in a clear and widely shared set of values and expectations Americans have for work and its relationship to families and the society. Americans expect work to be a source of human dignity and growth. This is deep in our cultural and our religious heritages.

By working, we develop as human beings, contribute to our society and communities, and provide for our families. We teach our children there is dignity and fulfillment in hard work and that by working hard in school and in their careers, opportunities will come their way.

A new social contract for health

By instilling these values early in life and reinforcing them as adults, what we do for work and employment becomes an important part of our personal identity. Given the importance of work to healthy individuals, our policies and institutions need to ensure that work provides a living wage, decent benefits, and the opportunity to use one's skills and abilities to their full potential.

At a macro level, ensuring these necessities requires a commitment to a full-employment policy in practice and trade policies that work for ordinary workers and their families.

Consistent with our democratic principles, all Americans expect to have a voice at work and to be treated fairly. This implies that when critical decisions need to be made affecting the interests and needs of shareholders, executives, employees, and communities, we value balance and fairness over the dominance of any one of these interests over all others.

Finally, because most parents are now participating in the labor force, they need the flexibility and resources to meet their dual obligations to be productive workers and good parents and citizens. This is perhaps the most profound change in how work is positioned in society and, therefore, it needs to figure prominently in the design of workplace and labor market policies and institutions.

Building this new social contract requires a re-examination of the roles of government, corporations, and unions in our society. The social contract that grew out of the New Deal and served the economy and society well for three decades following World War II evolved out of on-going and mutually beneficial negotiations and problem solving between leading corporations and labor unions, with government playing a key mediating, facilitating, and regulating role.

Government saw unions as important institutions that ensured workers had a voice in their workplaces and in the public debate. It also recognized its role in providing returning GIs and others with the tools to compete and thrive in the economy, including education and housing assistance.

Yet starting in the late s, this ability to negotiate fair and balanced divisions of the productivity and economic growth jointly generated by workers and employers broke down.

After the conservative victory in the s, a disdain for government social policies and an attack on collective bargaining became a key element of the new ideology. Government no longer saw its role of ensuring that prosperity was shared broadly.

Other employment and labor laws were undercut, leaving workers with fewer protections. Unions today represent only 7. In a world of new global and domestic competition, the threat of unfriendly takeovers and restructuring opportunities provided by the new information and telecommunication technologies, and the realignment of executive compensation in the form of stock options, corporations shifted their objectives to solely maximizing shareholder returns regardless of the effects of their actions on the interests of workers, communities, or the national economy and government.

Because of these radical shifts, the large middle class that flourished after World War II began to flounder.We need a new social contract for sustainability and health, with Science as a fourth partner.

All of us need to connect for a healthier health system, and to re-define health by co-creating a new language and a new narrative. Therefore a new social contract must describe what the employing organization promises and what it expects from its workers.

Based on the values they identified, participants in the first think tank drafted the "Social Contract for Turbulent Times.". Apr 17,  · Susan Desmond-Hellmann, chancellor of the University of California, San Francisco, says that for the bounty of new scientific knowledge to make a difference for patients, a new social contract .

A New Social Contract for Health Care Insurance Costs Essay Words Aug 9th, 4 Pages A New Social Contract for Health Care Insurance Costs The new social contract between the health care system and employers, patients, and the government has given everyone involved some breathing room.

The event was a lesson in partnership. Precision medicine will require a new social contract that promotes data sharing for the greater good – between patients and providers, public and private institutions, and the healthcare and tech industries.

Under the new social contract, health care consumers would have to take a new level of responsibility for their care and their health. Those who can afford healthcare will be expected to pay, while those who cannot will be cared for by Medicaid or Medicare.

Working Toward a New Social Contract for Health Care - Health Blog - WSJ