Archives


Injured Workers' Experiences of the Workers' Compensation Claims Process

Institutional disrespect and the neoliberal state

Margarita Parrish
School of Behavioural and Community Health Sciences, The University of Sydney - Cumberland Campus, New South Wales

Toni Schofield
Behavioural & Community Health Sciences, University of Sydney, NSW, Australia

Abstract

This paper reports on the results of a recent qualitative study of injured workers' experiences of the claims process in NSW. It provides an analysis that suggests that recent legislative amendments to improve the process have been of very limited value.

The paper argues that the obstacles to reform derive from the institutional practices associated with the day-to-day management and administration of the claims process. While these practices are informed by a corporate-rationalist administrative logic, they are enacted through intersubjective relations that involve systematic disrespect and humiliation of work-injured claimants by insurance company officials. Such practices embody the principles and techniques of an intensified neoliberal governance in the Australian state.

Keywords

workers' compensation, claims process, workers' experiences, corporate-rationalist administration, institutional practices, inter-subjective relations, disrespect and recognition

Article Text

With significant alterations to workers' compensation policies throughout Australia since the 1980s, the public management of injured workers has been transformed. Common law remedies have all but disappeared, and injured workers are obliged to return to employment as soon as practicable. Medical legitimation of injury remains fundamental but injured workers are also required, where appropriate, to participate in rehabilitation programmes to expedite their recovery and return to work.

State and Territory-based statutory authorities such as WorkCover in NSW and WorkCare in Victoria are publicly responsible for administering work injury management schemes. However, the day-to-day management of injured workers is conducted through the workers' compensation claims process that is administered by private insurance companies. They are paid a fee by governments to do so. To date, the management of the claims process throughout Australia has attracted sustained criticism (see below). This has been especially marked in relation to delays in payment to injured workers and to the imposition of significant barriers to injured workers' access to treatments and programmes associated with facilitating their return to work.

...continues...


Toggle references

References

ABS (1994) Work-Related Injuries and Illnesses New South Wales, October 1993, Catalogue No 6301, 1: Sydney.

ABS (2001) Census Basic Community Profile and Snapshot (Online) Available at: http://www.abs.gov.au/ausstats/abs%40census.nsf/4079.

Alcorso C (1988) Migrant Workers and Workers' Compensation in New South Wales, Social Welfare Research Centre, Reports and Proceedings, 71, SWRC, University of New South Wales: Kensington.

Beeson M and Firth A (1998) Neoliberalism as a political rationality: Australian public policy since the 1980s, Journal of Sociology 34(3): 215-231.

Bohle P and Quinlan M (2000) Managing Occupational Health and Safety in Australia: A Multidisciplinary Approach 2nd edn, Macmillan: Melbourne.

Calzoni T (1997) The client perspective and the missing link in work injury and rehabilitation studies, Journal of Occupational Health and Safety - Australia and New Zealand 13(1): 47-57.

Clapham K, Schofield T and Alcorso C (1993) Managing the Work Injury of Women from Non-English-Speaking Backgrounds, The National Women's Consultative Council AGPS: Canberra.

Coburn D (2000) Income inequality, social cohesion and the health status of populations: the role of neo-liberalism, Social Science & Medicine 51(1): 135-146.

Coburn D (2004) Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities, Social Science & Medicine 58(1): 41-56.

Considine M (1996) Market bureaucracy? Exploring the contending rationalities of administrative regimes, Labour and Industry 7(1): 1-27.

Franckom K (1992) Injured and silenced: working with workers' compensation claimants and their families, Australia and New Zealand Journal of Family Therapy 13(4): 219-223.

Foucault M (1980) Power/Knowledge, Selected Interviews and Other Writings 1972-1977 (ed) Colin Gordon, Pantheon Books: New York.

Fraser N (1989) Unruly Practices: Power, Discourse, and Gender in Contemporary Social Theory, Polity Press: Cambridge, UK.

Fraser N and Gordon L (1994) Reclaiming social citizenship: beyond the ideology of contract versus charity, in N Fraser, A Yeatman, E Zaretsky, E Grosz, P Lawler, J Camilleri, A Davidson, L Gordon and P James (eds) Critical politics: From the personal to the global, Arena Publications: Melbourne.

Honneth A (2003) Redistribution as recognition: a response to Nancy Fraser, in N Fraser and A Honneth Redistribution or Recognition?: A Political-Philosophical Exchange, Verso: London, pp.110-197

Honneth A (1995) The Struggle for Recognition: The Moral Grammar of Social Conflicts, Polity Press: Cambridge, UK.

James C (1993) Social processes and reporting or non-reporting, cited in P Bohle and M Quinlan (2000) Managing Occupational Health and Safety in Australia: A Multidisciplinary Approach 2nd edn, Macmillan: Melbourne.

Kenny DT (1995) Barriers to occupational rehabilitation: an exploratory study of long-term injured workers, Journal of Occupational Health and Safety, Australia and New Zealand 11(3): 249-256.

Kenny DT (1998) Returning to work after workplace injury impact of worker and workplace factors, Journal of Applied Rehabilitation Counselling 29(1): 13-19.

Mayhew C and Conroy D (1996) Aboriginal and Torres Strait Islander occupational health and safety: a pilot study of hazard exposures, patterns of work-related injury and illness, cited in P Bohle and M Quinlan (2000) Managing Occupational Health and Safety in Australia: A Multidisciplinary Approach 2nd edn, Macmillan: Melbourne.

Niemeyer L (1991) Social labelling, stereotyping and observer bias' cited in PM Trief and RG Donelson (1995) The potential impact of the workers' compensation system on quality of life outcomes: a clinical analysis, Journal of Occupational Rehabilitation 5(3): 185-193.

Pilowsky I (1985) Malingerophobia, Medical Journal of Australasia 143: 571-572.

Purse K (1998), Workers' compensation policy in Australia: best practice or lowest common denominator? Journal of Industrial Relations 40(2): 179-203.

Quinlan M and Mayhew C (1999) Precarious employment and workers' compensation, unpublished paper, cited in P Bohle and M Quinlan (2000) Managing Occupational Health and Safety in Australia: A Multidisciplinary Approach 2nd edn, Macmillan: Melbourne.

Simmonds M and Kumar S (1996) Does knowledge of a patient's workers' compensation status influence clinical judgement? Journal of Occupational Rehabilitation 6(2): 93-107.

Stubbs R and Underhill GRD (1994) (eds) Political Economy and the Changing Global Order, McClelland and Stewart: Toronto.

Weber M (1964) The Theory Of Social And Economic Organization, Free Press: New York.

WorkCover NSW (2000/01) Statistical Bulletin, WorkCover NSW: Sydney.

WorkCover NSW (2001) Simpler, Fairer, Faster. A Better Approach to Workers' Compensation in NSW, WorkCover NSW: Sydney.

WorkCover NSW (2002) Guidelines, WorkCover NSW: Sydney.

WorkCover (2003a) Injury Management and Return to Work Program: Workers' Compensation and Injury Management (Fact Sheet 2), WorkCover NSW: Sydney.

WorkCover (2003b) What to Do if There is an Injury: Workers' Compensation and Injury Management (Fact Sheet 3), WorkCover NSW: Sydney.

WorkCover (2003c) Claims and Benefits: Workers' Compensation and Injury Management (Fact Sheet 4), WorkCover NSW: Sydney.



Web Feed

Latest Articles

Call for Papers

Expert Patient Policy
Volume 18/2
Deadline: 15th Aug 2008


Ageing, Anti-Ageing and Globalization: Transitions and limits in the governance of ageing
Volume 18/4
Deadline: 20th Feb 2009


Special Issues

Ageing, Anti-Ageing and Globalization: Transitions and limits in the governance of ageing
Vol 18/4, 1st Dec 2009


Expert Patient Policy
Vol 18/2, 1st Jun 2009


Social Determinants of Child Health and Wellbeing
Vol 18/1, 1st Mar 2009


Integrative, Complementary and Alternative Medicine: Challenges for Biomedicine?
Vol 17/4, 1st Dec 2008


Community, Family, Citizenship and the Health of LGBTIQ People
Vol 17/3, 1st Oct 2008


Re-imagining Preventive Health: Theoretical Perspectives
Vol 17/2, 1st Aug 2008


Death, Dying and Loss in the 21st Century
Vol 16/5, 1st Dec 2007


Social Equity and Health
Vol 16/2, 1st Jun 2007


Medical Dominance Revisited
Vol 15/5, 1st Dec 2006


Childbirth, Politics & the Culture of Risk
Vol 15/4, 1st Oct 2006


Revisiting Sexualities and Health
Vol 15/3, 1st Aug 2006


Closing Asylums for the Mentally Ill: Social Consequences
Vol 14/3, 1st Dec 2005


Workplace Health: The Injuries of Neoliberalism
Vol 14/1, 1st Aug 2005


Symposium on Rural Health: Patients and Practitioners
Vol 13/2, 1st Dec 2004


Symposium on Women's Health
Vol 13/1, 1st Sep 2004


Symposium on Indigenous Health and the Contribution of Sociology
Vol 10/2, 1st Nov 2001


Sponsored Links

Selected Articles

Analysis and the effect of personal experience in a study of survival of serious illness
Harriet Denz-Penhey


The Neoliberal State and the Gendered Prosecution of Work Injury
Suzanne Jamieson


Outcry and Silence
Pauline Savy


The Mental Health Reform Cakewalk: Moving Forwards Backwards
Daphne Habibis


Social Change and Social Capital in Australia
Jane Edwards, Brian Cheers PhD, Litza Graham


Comment on D.P. Doessel's paper
John Deeble


Website by Arrowsmith Websites. Business, Government & Corporate Websites, Web Hosting, Domain Names & SEO. Maleny, Sunshine Coast, Australia.