The Next Shift
The Fall of Industry and the Rise of Health Care in Rust Belt America
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The Next Shift
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Narrated by:
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BJ Harrison
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By:
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Gabriel Winant
About this listen
Pittsburgh was once synonymous with steel. But today, most of its mills are gone. Like so many places across the United States, a city that was a center of blue-collar manufacturing is now dominated by the service economy - particularly health care, which employs more Americans than any other industry. Gabriel Winant takes us inside the Rust Belt to show how America's cities have weathered new economic realities. In Pittsburgh's neighborhoods, he finds that a new working class has emerged in the wake of deindustrialization.
As steelworkers and their families grew older, they required more health care. Even as the industrial economy contracted sharply, the care economy thrived. Unlike their blue-collar predecessors, home health aides and hospital staff work unpredictable hours for low pay. And the new working class disproportionately comprises women and people of color.
Today, health care workers are on the front lines of our most pressing crises, yet we have been slow to appreciate that they are the face of our twenty-first-century workforce. The Next Shift offers unique insights into how we got here and what could happen next. If health care employees, along with other essential workers, can translate the increasing recognition of their economic value into political power, they may become a major force in the 21st century.
©2021 The President and Fellows of Harvard College (P)2021 TantorListeners also enjoyed...
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Story4.5 out of 5 stars 82
In A Collective Bargain, longtime labor organizer, environmental activist, and political campaigner Jane McAlevey makes the case that unions are a key institution capable of taking effective action against today’s super-rich corporate class. Since the 1930s, when unions flourished under New Deal protections, corporations have waged a stealthy and ruthless war against the labor movement. And they’ve been winning.
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2 out of 5 stars
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Disappointing
- By Ellen on 01-26-20
By: Jane McAlevey
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Golden Gulag
- Prisons, Surplus, Crisis, and Opposition in Globalizing California
- By: Ruth Wilson Gilmore
- Narrated by: Machelle Williams
- Length: 7 hrs and 57 mins
- Unabridged
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Overall4.5 out of 5 stars 29
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Performance4.5 out of 5 stars 22
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Story4.5 out of 5 stars 22
Since 1980, the number of people in US prisons has increased more than 450 percent. Despite a crime rate that has been falling steadily for decades, California has led the way in this explosion, with what a state analyst called "the biggest prison building project in the history of the world". Golden Gulag provides the first detailed explanation for that buildup by looking at how political and economic forces conjoined to produce the prison boom.
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3 out of 5 stars
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Started off great but devolved into case study
- By normal person on 10-16-21
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The Hidden History of the Supreme Court and the Betrayal of America
- The Thom Hartmann Hidden History Series
- By: Thom Hartmann
- Narrated by: Sean Pratt
- Length: 4 hrs and 15 mins
- Unabridged
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Overall5 out of 5 stars 134
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Performance5 out of 5 stars 120
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Story4.5 out of 5 stars 120
Taking his typically in-depth, historically informed view, Thom Hartmann asks: What if the Supreme Court didn't have the power to strike down laws? According to the Constitution, it doesn't. From the founding of the republic until 1803, the Supreme Court was the final court of appeals, as it was always meant to be. So where did the concept of judicial review start? As so much of modern American history, it began with the battle between the Federalists and Anti-Federalists, and with Marbury v. Madison.
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5 out of 5 stars
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A must read to understand why voting is essential.
- By Brandon WIlliams on 10-05-19
By: Thom Hartmann
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Fulfillment
- Winning and Losing in One-Click America
- By: Alec MacGillis
- Narrated by: Danny Gavigan
- Length: 12 hrs and 22 mins
- Unabridged
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Overall4.5 out of 5 stars 205
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Performance4.5 out of 5 stars 172
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Story4 out of 5 stars 172
Alec MacGillis’ Fulfillment is not another inside account or exposé of our most conspicuously dominant company. Rather, it is a literary investigation of the America that falls within that company’s growing shadow. As MacGillis shows, Amazon’s sprawling network of delivery hubs, data centers, and corporate campuses epitomizes a land where winner and loser cities and regions are drifting steadily apart, the civic fabric is unraveling, and work has become increasingly rudimentary and isolated.
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3 out of 5 stars
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Missing some important angles
- By D. Zimmerle on 08-19-21
By: Alec MacGillis
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The Nordic Theory of Everything
- In Search of a Better Life
- By: Anu Partanen
- Narrated by: Abby Craden
- Length: 10 hrs and 28 mins
- Unabridged
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Overall4.5 out of 5 stars 1,013
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Performance4.5 out of 5 stars 873
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Story4.5 out of 5 stars 867
Moving to America in 2008, Finnish journalist Anu Partanen quickly went from confident, successful professional to wary, self-doubting mess. She found that navigating the basics of everyday life - from buying a cell phone and filing taxes to education and childcare - was much more complicated and stressful than anything she encountered in her homeland. At first she attributed her crippling anxiety to the difficulty of adapting to a freewheeling new culture. But as she got to know Americans better, she discovered they shared her deep apprehension.
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4 out of 5 stars
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A non-radical perspective on two societies
- By kwdayboise (Kim Day) on 06-20-17
By: Anu Partanen
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Yellen
- The Trailblazing Economist Who Navigated an Era of Upheaval
- By: Jon Hilsenrath
- Narrated by: Jon Hilsenrath, Seth Podowitz
- Length: 11 hrs and 54 mins
- Unabridged
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Overall4.5 out of 5 stars 29
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Performance5 out of 5 stars 26
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Story5 out of 5 stars 26
An engrossing and deeply human chronicle of the past fifty years of American economic and social upheaval, viewed through the consequential life of the most powerful woman in American economic history, Janet Yellen, and her unconventional partnership in marriage and work with Nobel Laureate George Akerlof.
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5 out of 5 stars
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Must read
- By Ali on 03-26-24
By: Jon Hilsenrath
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Fantasy Island
- Colonialism, Exploitation, and the Betrayal of Puerto Rico
- By: Ed Morales
- Narrated by: Sean Duffy
- Length: 10 hrs and 57 mins
- Unabridged
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Overall4.5 out of 5 stars 112
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Performance4.5 out of 5 stars 98
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Story4.5 out of 5 stars 98
In Fantasy Island, Ed Morales traces how, over the years, Puerto Rico has served as a colonial satellite, a Cold War Caribbean showcase, a dumping ground for US manufactured goods, and a corporate tax shelter. He also shows how it has become a blank canvas for mercenary experiments in disaster capitalism on the frontlines of climate change, hamstrung by internal political corruption and the US federal government's prioritization of outside financial interests.
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4 out of 5 stars
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Gringo Narrattion
- By shakira julia on 02-08-21
By: Ed Morales
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The Liberal Invasion of Red State America
- By: Kristin B. Tate
- Narrated by: John Pruden
- Length: 7 hrs and 4 mins
- Unabridged
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Overall4.5 out of 5 stars 36
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Performance4.5 out of 5 stars 36
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Story4.5 out of 5 stars 35
Progressive upper-middle-class urbanites are deserting expensive liberal meccas like New York and San Francisco and flocking to traditionally red states like Colorado, New Hampshire, Virginia, and Texas. The result is a sudden, confusing purpling of small-town America. School boards and local governments are being reorganized around the progressive agendas of pushy transplants. Neighborhoods are becoming unrecognizable. And the implications for future Congressional and presidential elections are staggering.
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5 out of 5 stars
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Interesting and back up with facts
- By Jason on 01-23-20
By: Kristin B. Tate
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American Dreams
- Restoring Economic Opportunity for Everyone
- By: Marco Rubio
- Narrated by: Ricardo Suri
- Length: 6 hrs and 18 mins
- Unabridged
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Overall4.5 out of 5 stars 63
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Performance4.5 out of 5 stars 58
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Story4.5 out of 5 stars 59
Marco Rubio's parents came to the United States in 1956. The country they found was truly a land of opportunity, where hardworking people with grade school educations could afford a home, a car, and college for their kids. A country where maids and bartenders could raise doctors, lawyers, small-business owners, and maybe even a US senator. That was the American Dream - our country's central promise to its people.
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5 out of 5 stars
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Comprehensive and compelling path for renewal.
- By gary on 06-03-15
By: Marco Rubio
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Boom, Bust, Exodus
- The Rust Belt, the Maquilas, and a Tale of Two Cities
- By: Chad Broughton
- Narrated by: Stephen McLaughlin
- Length: 15 hrs and 34 mins
- Unabridged
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Overall4.5 out of 5 stars 27
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Performance4.5 out of 5 stars 24
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Story4.5 out of 5 stars 24
In 2002, the town of Galesburg, a slowly declining Rustbelt city of 33,000 in western Illinois, learned that it would soon lose its largest factory, a Maytag refrigerator plant that had anchored Galesburg's social and economic life for decades. Workers at the plant earned $15.14 an hour, had good insurance, and were assured a solid retirement. In 2004, the plant was relocated to Reynosa, Mexico, where workers sometimes spent 13-hour days assembling refrigerators for $1.10 an hour.
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4 out of 5 stars
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A Story I thought I Knew
- By Meek84 on 07-08-18
By: Chad Broughton
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This Brave New World
- India, China and the United States
- By: Anja Manuel
- Narrated by: Elizabeth Wiley
- Length: 12 hrs and 14 mins
- Unabridged
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Overall4.5 out of 5 stars 41
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Performance4 out of 5 stars 35
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Story4.5 out of 5 stars 35
In the next decade and a half, China and India will become two of the world's indispensable powers - whether they rise peacefully or not. During that time, Asia will surpass the combined strength of North America and Europe in economic might, population size, and military spending. Both India and China will have vetoes over many international decisions, from climate change to global trade, human rights, and business standards.
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4 out of 5 stars
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Good book, could be better
- By General on 09-23-16
By: Anja Manuel
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Race for Profit
- How Banks and the Real Estate Industry Undermined Black Homeownership
- By: Keeanga-Yamahtta Taylor
- Narrated by: Janina Edwards
- Length: 12 hrs and 29 mins
- Unabridged
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Overall5 out of 5 stars 108
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Performance5 out of 5 stars 87
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Story5 out of 5 stars 86
Race for Profit uncovers how exploitative real estate practices continued well after housing discrimination was banned. The same racist structures and individuals remained intact after redlining's end, and close relationships between regulators and the industry created incentives to ignore improprieties. Meanwhile, new policies meant to encourage low-income homeownership created new methods to exploit Black homeowners.
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5 out of 5 stars
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Race for Profit
- By Hewti on 12-03-20
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Great Society
- A New History
- By: Amity Shlaes
- Narrated by: Terence Aselford
- Length: 17 hrs and 45 mins
- Unabridged
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Overall4.5 out of 5 stars 380
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Performance4.5 out of 5 stars 327
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Story4.5 out of 5 stars 323
In Great Society, Shlaes offers a powerful companion to her legendary history of the 1930s, The Forgotten Man, and shows that in fact there was scant difference between two presidents we consider opposites: Johnson and Nixon. Just as technocratic military planning by "the Best and the Brightest" made failure in Vietnam inevitable, so planning by a team of the domestic best and brightest guaranteed fiasco at home. At once history and biography, Great Society sketches moving portraits of the characters in this transformative period.
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5 out of 5 stars
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How have we forgotten how bad these ideas were?
- By Robert S. Allen on 02-09-20
By: Amity Shlaes
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A Good Provider Is One Who Leaves
- One Family and Migration in the 21st Century
- By: Jason DeParle
- Narrated by: Fred Sanders
- Length: 11 hrs and 44 mins
- Unabridged
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Overall5 out of 5 stars 123
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Performance5 out of 5 stars 101
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Story5 out of 5 stars 100
When Jason DeParle moved into the Manila slums with Tita Comodas and her family three decades ago, he never imagined his reporting on them would span three generations and turn into the defining chronicle of a new age - the age of global migration. In a monumental book that gives new meaning to "immersion journalism", DeParle paints an intimate portrait of an unforgettable family as they endure years of sacrifice and separation, willing themselves out of shantytown poverty into a new global middle class.
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5 out of 5 stars
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Excellent and Important
- By Booklover on 03-22-20
By: Jason DeParle
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Where You Are Is Not Who You Are
- A Memoir
- By: Ursula Burns
- Narrated by: Ursula Burns
- Length: 7 hrs and 39 mins
- Unabridged
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Overall5 out of 5 stars 412
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Performance4.5 out of 5 stars 355
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Story5 out of 5 stars 357
The first Black female CEO of a Fortune 500 company looks back at her life and her career at Xerox, sharing unique insights on American business and corporate life, the workers she has always valued, racial and economic justice, how greed is threatening democracy, and the obstacles she’s conquered being Black and a woman.
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5 out of 5 stars
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Relatable story, flaws and all
- By Anonymous User on 01-06-22
By: Ursula Burns
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How Are You Going to Pay for That?
- Smart Answers to the Dumbest Question in Politics
- By: Ryan Cooper
- Narrated by: Ryan Cooper
- Length: 8 hrs and 22 mins
- Unabridged
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Overall4.5 out of 5 stars 40
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Performance4.5 out of 5 stars 37
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Story4.5 out of 5 stars 36
How Are You Going to Pay for That? is filled with engaging discussions and detailed strategies that policymakers and citizens alike can use to assail even the most entrenched lines of neoliberal logic and start to undo these long-held misconceptions. Equal parts economic theory, history, and political polemic, this is an essential roadmap for winning the key battles to come.
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3 out of 5 stars
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Yay, Taxes!!!
- By Luvelway on 02-19-24
By: Ryan Cooper
What listeners say about The Next Shift
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- micah thompson
- 02-07-23
A brilliant analysis of class
Winant’s does a masterful job of demonstrating the creation of class in the changing economic conditions of Pittsburgh.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- Alexander Campbell
- 05-07-23
Great look at the history of Pittsburgh labor
Fascinating examination of white and black unionized and non-union labor in the Pittsburgh steel and healthcare industries since 1950. I thought the 1950-1973 portions were the most interesting, but it was all very insightful. Excellent narration as well. A must-listen if labor/management interactions interest you.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- D. Speidel
- 07-07-21
Insightful
I wanted to read the book for insights into the medical industrial complex and as a fringe benefit developed a better understanding of the previous industrial economy. This is beautifully written and compelling.
I would love
To read further work from Gabriel Winant and any further direction he can give on fixing the disastrously opportunistic, greedy and parasitic healthcare industry he has so vividly described.
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