For the last year, the economy, health care reform and wars in Iraq and Afghanistan have occupied President Obama, forcing his campaign promise to improve workplace safety onto the back burner. With those issues under better control, the Obama administration appears to be ramping up to tackle workplace safety. Repetitive-stress musculoskeletal injuries harm 460,000 workers and cost U.S. businesses $9.1 billion in health care costs each year. As the first step toward developing regulations to reduce the risk and incidence of musculoskeletal injuries, the Obama administration this week proposed that U.S. companies be required to keep more extensive records of ergonomic-related injuries. Most analysts assume this to be the administration’s first volley in the battle to reinstate workplace injury regulations similar to those implemented by President Clinton but quickly nullified by President Bush in 2001.
The new proposal doesn’t attempt to reinstate the Clinton regulations at this time, but it does put the issue back on the negotiating table and is expected to quickly revive the ergonomics debate in Washington. Earning immediate support from the AFL-CIO which has been lobbying for a return of ergonomic requirements since Obama’s campaign days, the newly proposed reporting requirement is subject to public comment before it takes effect. The U.S. Chamber of Commerce is expected to provide stiff opposition. The country’s largest business lobbying group, the U.S. Chamber fought vigorously against the Clinton era ergonomic regulations arguing that implementation would cost American employers more than $4.2 billion per year.
Frankly, we think opposition to ergonomics is shortsighted. Change is inexorable. The upshot of the health care reform debate is that American medicine must move from the current acute care model to increased preventative care to reign in soaring medical costs and effectively care for America’s aging population. New emphases in health care will increase demand for ergonomic equipment and processes that prevent disabling musculoskeletal injuries. Those who embrace the future early, stand to gain the most.