Technology demands uniformity from human beings who encounter it. People encountering technology, however, differ from one another. Thinkers in the early twentieth century, observing the awful consequences of interactions between humans and machines—death by automobiles or dismemberment by factory machinery, for example—developed the idea of accident proneness: the tendency of a particular person to have more accidents than most people. In tracing this concept from its birth to its disappearance at the end of the twentieth century, Accident Prone offers a unique history of technology focused not on innovations but on their unintended consequences.

Here, John C. Burnham shows that as the machine era progressed, the physical and economic impact of accidents coevolved with the rise of the insurance industry and trends in twentieth-century psychology. After World War I, psychologists determined that some people are more accident prone than others. This designation signaled a shift in social strategy toward minimizing accidents by diverting particular people away from dangerous environments. By the 1960s and 1970s, however, the idea of accident proneness gradually declined, and engineers developed new technologies to protect all people, thereby introducing a hidden, but radical, egalitarianism.

            Lying at the intersection of the history of technology, the history of medicine and psychology, and environmental history, Accident Prone is an ambitious intellectual analysis of the birth, growth, and decline of an idea that will interest anyone who wishes to understand how Western societies have grappled with the human costs of modern life.

As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS.
The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members.
Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others.
J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.