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                      In an illuminating opening chapter to the  was built through identifying natural leaders
                    book, Clawson captures the basic building  in every shift and work area, forming an
                    block of SMU, identified in the analysis of  organizing committee, organizing small
                    South  Africa and Brazil in the 1970s and  group meetings at workers’ homes, building
                    1980s, namely, that the organizational form  a strong majority who supported the union in
                    of SMU is radically democratic. This is the  the hospital; then organizing ‘a walk into the
                    key to developing a sense of empowerment  CEO’s office unannounced’.  There was a
                    and optimism that change can be wrought.  feeling throughout the hospital that we ‘are
                    The chapter identifies a significant feature   finally going to take control of the situation’
                    of the market era: in spite of the fact that cor-  (Clawson, 2003: 11). Despite management
                    porations are hostile to unionism and as a  hostility and attempts to intimidate individ-
                    consequence, workers are fearful and hesi-  ual workers, the union won recognition.
                    tant, the beginnings of a counter-movement  Clawson concluded that whereas the factory
                    can be identified. The chapter begins with an  workers were ‘defeated and humiliated’, the
                    example of factory workers who are exposed  nurses were ‘exhilarated and empowered’.
                    to hazardous substances. They are afraid to  This democratic, participatory and action-
                    form a union, but eventually take various  orientated unionism contrasts with business
                    forms of action as an expression of their dis-  unionism, whose goal ‘is to increase the
                    content.  They were ‘crushed’ by manage-  number of dues-paying members, not to
                    ment. ‘Workers were demoralized, convinced  empower workers ... the organizing staff is
                    that people like them could never get their  “the union” in their own minds and in the
                    rights; the best thing to do was to swallow  minds of workers. Paid staff make all the key
                    their anger and keep their heads down’. Even  decisions, and do things for the workers
                    though the leader of the workers in the fac-  instead of helping workers to develop their
                    tory was courageous, ‘he and his co-workers  own power’.  At meetings, ‘paid staff do
                    were left feeling demoralized and defeated,  almost all the talking’. Hence workers ‘may
                    that it was useless to stand up for themselves,  not feel that they have the capacity – or the
                    or worse than useless because it led to humil-  right – to democratically make decisions
                    iation and grief’ (Clawson, 2003: 2–3).  about their priorities. Certainly they don’t
                    Clawson contrasts this defeat with the case of  feel that workers have the power to stand
                    Rhode Island Hospital, where a union was  up to management; at best they hope “the
                    successfully organized and a struggle over  union” (meaning the paid staff) will do so for
                    conditions won.                         them’. In contrast ‘the union building
                      The hospital is a classic example of the  approach’ is about ‘empowering workers ...
                    ethos of market rationalism where constant  giving them the confidence, the solidarity, and
                    cost cutting is in vogue, regardless of the  the tools needed to stand up for what they
                    impact on workers and their families. As part  believe in and win it’ (Clawson 2003: 10).
                    of cost cutting, the hospital raised the health  The Clawson book provides telling evi-
                    insurance rates of their employees by as  dence that the fearful passivity of workers
                    much as 400%. Such an intervention is not  can be transformed through democratic
                    simply a rational cost issue; it is a justice  union organizing. The crucial point is that the
                    issue.  What is fascinating in Clawson’s  potential for union growth has not been real-
                    description of the hospital is the way that the  ized because the top-down organizing strat-
                    union was formed and the type of campaign  egy of business unionism has failed to draw
                    that developed. Crucially, the union organ-  on the grievances that workers have.
                    izer stressed that ‘the union is not the organ-  However, democratic unionism in and of
                    izers or staff ... the union is you ... the union  itself will be unable to confront corporate
                    is going to be whatever we make it when we  restructuring, ‘Unless there is a new period
                    organize it’ (Clawson 2003: 10). The union  of mass social movements, labor is likely to
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