How America Let Its Workers’ Compensation System Fail

This analysis examines the systemic failure of the U.S. workers' compensation system, a century-old social safety net designed to support workers injured on the job. The article highlights the crisis in the engineered stone countertop industry, where workers cutting quartz countertops inhale ultrafine silica dust, leading to silicosis—a deadly but preventable disease. In California alone, over 500 workers have been sickened, at least 30 have died, and more than 100 have required or are awaiting lung transplants. Despite this, a study found that only 8 out of 114 affected workers received any workers' comp benefits, with taxpayers covering most medical costs through Medicaid. The piece traces the system's origins to the early 20th century, including the 1911 Triangle Shirtwaist fire, and argues that the 'grand bargain'—where workers gave up the right to sue in exchange for guaranteed benefits—has failed, delivering meager or no compensation to most injured workers and doing little to prevent workplace injuries and illnesses.