Markowitz G, Rosner D
Department of History, Baruch College/CUNY, NY 10025.
Milbank Q. 1989;67 Suppl 2 Pt 1:228-53.
No firm differentiation existed between social and medical standards on silicosis, the salient industrial health problem of the 1920s and 1930s. As a result, professional groups, government and labor officials, and insurance executives negotiated about the causes and consequences of the disabling condition. Debates in the 1930s formed the basis for amending state and federal compensation systems for work-related disease. If attention to silicosis declined after World War II, disputes continued about diagnosis and functional criteria for identifying pulmonary and occupationally based impairments, and about appropriate policies for treating and compensating people disabled through the course of their work.
在20世纪20年代和30年代突出的工业健康问题——矽肺病方面，社会标准和医学标准之间不存在明确的区分。因此，专业团体、政府和劳工官员以及保险高管就这种致残状况的成因和后果进行了协商。20世纪30年代的辩论为修订州和联邦与工作相关疾病的赔偿制度奠定了基础。如果说二战后对矽肺病的关注有所减少，那么关于识别肺部和职业性损伤的诊断和功能标准，以及关于治疗和补偿因工作致残人员的适当政策的争论仍在继续。
