the great tradeoff: understand the rights you gave up for workers’ comp
TRANSCRIPT
The Great Tradeoff for Workers’ Compensation
Benefits
509 workers were injured in a three month period, with
only 37% receiving any benefits beyond hospital cost coverage
1907
The Pittsburgh Survey: Earliest systematic survey of workplace fatalities
526 people died in work accidents in one year;
and over half of families were compensated with only $100 or less
$100$
$
3,329 mining-related deaths occurred per year on average
Employees did not receive benefits uniformly
Cost of liability coverage for employers grew astronomically
18,000-21,000 people died from work-related injuries
Many workers did not bring their cases to court for fear of losing their jobs
Personal injury cases against employers increased
1911-1915
THE GREAT TRADEOFF: Workers sacrificed a constitutional right to sue for damages
Pennsylvania Workers’ Compensation Act
enacted
Bureau of Workers’ Compensation created
1915
Employers Employees
Established a limit for payments
Freed from unpredictability
of liability
Guaranteed lost wages and
medical benefits
Established a no-fault basis for
injuries
Heated debate began on whether illness developed as a result of an occupation should be covered by
workers’ compensation
1937
The Pennsylvania Occupational Disease Act established a separate law to protect workers who developed illnesses
in relation to their work
1939
Act modified to expand workers’ rights by providing a more liberal construction of the law
1972
Occupational diseases covered
Benefit levels raised
Mandatory for all employers to carry workers’ comp
Act amended to give most workers freedom to select their health care providers
1978
Utilization Review instituted1993
Act amended so workers can settle their comp cases for a lump sum
1996
Uninsured Employers Guaranty Fund established to protect workers whose employers do not carry workers’ comp insurance
2006
In light of the Great Tradeoff, evidence should be construed in favor of the injured worker, but
some judges are not following this principle
NOW
37%
=
$ +
Humanitarian foundation being eroded
Some judges put more value on the independent medical examiner’s evaluation of an injured worker than the workers’ own
treating physician
New process created for insurance carrier to review worker’s medical treatment
Can leave some workers footing the bill if carrier believes treatment is unrelated to the injury
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