title: The role of union democracy in the struggle for workers' health in Mexico.
abstract: In this article, the author analyzes the struggle for workers' health in Mexico, emphasizing the importance of the general and specific political context. In an overview of the legislation on industrial health and safety, the state institutions involved in the issue, and the characteristics of union organization in Mexico, the author shows that the limited activities related to workers' health have more to do with the relative political weakness of the Mexican working class than with the formal structures of legislation, state institutions, and unions. The second part of the article deals with the four most important struggles for health and safety in Mexico during the last ten years, which show some similarities. These struggles are consistently linked to processes of union democratization and tend to decline when union democracy is lost. The strategies of the companies show a common pattern: removing health issues from collective bargaining and putting them in the hands of state institutions. When workers have opposed this solution, management has used selective repression to solve the conflict. The state institutions subordinate their position to the companies' by postponing action or by doing a technically poor job. Changing the existing situation involves the social legitimation of the workers' health issue, since this would have an impact on the political processes involved, i.e., corporate control over workers, authoritarian labor relations and professionalism, and resources of the state institutions.
authors.forename: A C
authors.initials: AC
authors.lastname: Laurell
mesh_terms: D003098:Collective Bargaining; D003709:Democracy; D006264:Health Benefit Plans, Employee; D006291:Health Policy; D006801:Humans; D007750:Labor Unions / Q000458:organization & administration*; D008800:Mexico; D009786:Occupational Health Services; D012449:Safety; D014942:Workers' Compensation