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As someone who knows more than a little about the history of the railway industry and occupational and public health (both US and UK, actually), I'm rendered almost speechless by what is happening with the possible strikes in the U.S.

I firmly believe that it is difficult to understand contemporary problems in public health policy and even health care policy in the US w/o really integrating the histories of the railway industry and railway medicine. The connections are LEGION.

They include:

- basic reasons why private health care is provided by third parties rather than directly from corporations and employers;

- the origins of the #ManufactureOfDoubt in regulated industries;

- accusations of #malingering and feigned illness in social policy;

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