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Title: ⚡download The Next Shift: The Fall of Industry and the Rise of Health Care in Rust Belt America


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Description
Winner of the Frederick Jackson Turner
AwardWinner of the Isaac and Tamara
Deutscher Memorial PrizeWinner of the C. L. R.
James AwardA ProMarket Best Political
Economy Book of the YearMen in hardhats were once
the heart of Americaâs working class now it is
women in scrubs. What does this shift portend for
our future?Pittsburgh was once synonymous with
steel. But today most of its mills are gone. Like
so many places across the United States, a city
that was a center of blue-collar manufacturing is
now dominated by the service economyâparticularl
y health care, which employs more Americans than
any other industry. Gabriel Winant takes us
inside the Rust Belt to show how Americaâs
cities have weathered new economic realities. In
Pittsburghâs neighborhoods, he finds that a
new working class has emerged in the wake of
deindustrialization.As steelworkers and
their families grew older, they required more
health care. Even as the industrial
economy contracted sharply, the care economy
thrived. Hospitals and nursing homes went on
hiring sprees. But many care jobs bear little
resemblance to the manufacturing work the city
lost. Unlike their blue-collar predecessors, home
health aides and hospital staff
work unpredictable hours for low pay. And the new
working class disproportionately comprises women
and people of color.Today health care workers are
on the front lines of our most pressing crises,
yet we have been slow to appreciate that they are
the face of our twenty- first-century workforce.
The Next Shift offers unique insights into how we
got here and what could happen next. If health
care employees, along with other essential
workers, can translate the increasing recognition
of their economic value into political power,
they may
7
become a major force in the twenty-first century.
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