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The Shenandoah Valley

The Shenandoah Valley Edward Beyer, Digital Restoration of "Harper's Ferry from Jefferson Rock" from Album of Virginia: Illustrations of the Old Dominion, 1858. The Shenandoah Valley's history marks it as...

The Chesapeake Bay

...they were not conservationists. They cleared lands and moved as necessary, their low numbers making little impact on the available resources (with the significant exception of white-tail deer which Indians...

COVID-19: Lessons in Ignorance

...as evidenced by the exceptionally devastating and inequitable toll that COVID-19 has exacted, much of which was averted or more proficiently mitigated by other countries, including nations in the Global...

Transcript of "When I Say 'Steal,' Who Do You Think Of?": Part Two

...was to prevent freed slaves from becoming free labor, people able to sell their labor as workers. The passing of the Codes was an attempt to continue slavery. In the...

Coalfield Generations: Health, Mining, and the Environment

...lights on, businesses like Wal-Mart are becoming the major employers. When mines close and the number of miners decreases, company housing may deteriorate, be abandoned, or replaced by mobile homes....

Plantation Romances and Slave Narratives: Symbiotic Genres

...impetus as an explicitly abolitionist form, like Stowe's novel (indeed the narratives were an important source for her book's rendering of slave life). The fugitive or freed slaves, writing first-hand...

Religion and the US South

...were from the Iberian Peninsula, with those from central Europe coming in larger numbers after 1840. They embraced the religious freedom that the nation offered, as well as its economic...

COVID-19 Vaccine and the Right to Public Health

...leadership. As the number of Brasilians dying from Covid increased to over 600,000 in 2021, citizens largely ignored their president, eschewed their free choice option to not vaccinate, and lined...

Still Digging Our Own Graves: Coal Miners and the Struggle over Black Lung Disease

...monthly payments can mean the difference between destitution and modest survival.4This estimate of the number of black lung beneficiaries is extrapolated from data on the number of claims filed each...

References
1.	The language of "miners' wives and widows" implies that all miners are male. However, since at the least the 1970s, women have worked in the mines, including underground, albeit in small numbers. I use the language of "wives and widows" because most black lung activists use this language in their organizing and their discussion of black lung compensation (e.g., "widows' claims").
2.	See Daniel M. Fox and Judith F. Stone, "Black Lung: Miners' Militancy and Medical Uncertainty, 1968–1972," Bulletin of the History of Medicine 54, no. 1 (1980): 43–63, for an early framing of the black lung struggle as between miners and physicians over the definition of disease. Their emphasis on medical uncertainty differs from the analysis in my own article, which came out during the same time period: Barbara Ellen Smith, "Black Lung: The Social Production of Disease," International Journal of Health Services 11, no. 3 (1981): 343–359.
3.	Journalistic and some scientific accounts equate coal workers' pneumoconiosis (CWP) with black lung. However, an essential component of the black lung movement was miners' and their families' struggle to broaden the definition, beyond CWP, of miners' disabling, occupationally related lung disease. Research by physicians and other scientists familiar with and sympathetic to miners and their health has validated this broader definition. See, for example, Edward L. Petsonk, Cecile Rose, and Robert Cohen, "Coal Mine Dust Lung Disease: New Lessons from an Old Exposure," American Journal of Respiratory and Critical Care Medicine 187, no. 11 (2013): 1178–85.
4.	This estimate of the number of black lung beneficiaries is extrapolated from data on the number of claims filed each year, changing approval rates, the annual total cost of claims, and, for some years, reports from the administering federal agency. See, for example, Social Security Administration, Annual Statistical Supplement to the Social Security Bulletin, 2016 (Washington, DC, 2017), Table 9. Beneficiaries who are miners and those who are widows, added together, do not equal the total number of miners judged disabled by black lung, as a widow may receive her husband's benefits after his death. Further, the number of beneficiaries is reported each year as a rolling total, and thus cannot be summed. The coronavirus interrupted my efforts to obtain more precise data. As of December 2018, an individual beneficiary is entitled to receive $660/month, which increases up to a maximum of $1,320 for those with three or more dependents. US Department of Labor, Division of Coal Mine Workers' Compensation, "Benefit Rates Under Part C, 1973–2018," accessed August 16, 2019, https://www.dol.gov/owcp/dcmwc/statistics/PastPartCBenefitRates.htm.
5.	Sam Roberts, "Dr. Donald L. Rasmussen, Crusader for Miners' Health, Dies at 87," New York Times, August 2, 2015, accessed September 29, 2019, https://www.nytimes.com/2015/08/03/health/research/dr-donald-l-rasmussen-crusader-for-coal-miners-health-dies-at-87.html.
6.	Dr. Cohen testified during the hearings on black lung, "Breathless and Betrayed." See "What is MHSA Doing to Protect Miners from the Resurgence of Black Lung Disease?" YouTube video, 2:58:39, June 20, 2019, House Committee on Education and Labor, https://www.youtube.com/watch?v=sJUDcTf0a_g.
7.	NIOSH, Criteria for a Recommended Standard: Occupational Exposure to Respirable Coal Mine Dust, publication no. 95–106 (Washington, DC: US Government Printing Office, 1995), xxii, https:// www.cdc.gov/niosh/docs/95-106/default.html.
8.	Austyn Gaffney, "As Black Lung Strikes Younger Coal Miners, Kentucky Restricts Medical Benefits," NRDC, September 24, 2018, accessed September 29, 2018, https://www.nrdc.org/stories/black-lung-strikes-younger-coal-miners-kentucky-restricts-medical-benefits.
9.	This summary of miners' perspectives on the origins of black lung and the role of physicians in advocating a restrictive view of work-related, compensable disease is based on the author's interviews and observations in southern West Virginia at different moments during the past five decades.
10.	Howard S. Berliner and J. Warren Salmon, "The Holistic Health Movement and Scientific Medicine: The Naked and the Dead," Socialist Review 9, no. 1 (January–February 1979): 31–52.
11.	See Talcott Parsons, The Social System (New York: Free Press, 1951). Parsons's conceptualization of the sick role was neither class nor historically specific.
12.	Author's interview with Danny Whitt, Matewan, WV, September 4, 2019.

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