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Reframing Resistance: A Review of Freedom Now!

...photographs. No image became more iconic, no place more marked by photographs than Birmingham in the days of Bull Connor's hoses and dogs. Martin A. Berger's fine book, Freedom Now! Forgotten...

Scales of Slavery on the Mason-Dixon Line: A Review of Gleanings of Freedom

Review Max Grivno's subtle and remarkably textured history of labor in northern Maryland and southern Pennsylvania, Gleanings of Freedom: Free and Slave Labor along the Mason Dixon Line, 1790–1860, details...

How I Shed My Skin

Presentation and Review Civil rights narratives often empower and embolden, promoting faith in possibilities, hope for rectifying inequities. More sober assessments show that, though we've come a long way—thanks to...

The Joneses: Home Made in Mississippi

...ever since. The Joneses promotional poster. Bunny Lake Films LLC, 2016. The documentary project spun out of my first book, Men Like That: A Southern Queer History, which began as...

Inside Poor Monkey's

...that is often referred to as a "tin." It is windowless, but has three doors. The front sports several faded, hand-painted signs. One describes the dress code by saying "not...

Beasts of the Southern Wild and Dirty Ecology

...a chorus of animals: "'I'm hungry. I want to poop.' But sometimes they start talking in codes." How do we make our way into the coded life of other species?...

The Color of Democracy: A Japanese Public Health Official’s Reconnaissance Trip to the US South

...overpopulation, the Americans warned, could leave Japan and the rest of Asia vulnerable to communism, which in turn would threaten a reduced "free world." Communist China became an embodiment of...

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

...Would that I had been wrong! Today, not only do coal miners still suffer from this lethal but preventable lung disease, they do so at younger ages, some even in...

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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