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In the context of such debates on noxiousness, a poignant critique was developed amongst political collectives of medical students close to the positions of autonomous Marxism, who identified a fundamental weakness in the way the principal trade unions were using the new knowledges around noxious working environements coming from wokers' enquiries to implement a reformist policy of compromise. As summarised in one pamphlet, the fear was that trade unions would end up being complicit in a " possible capitalist use of prevention" wihtout being able "to even immagine the probable functionality of 'healthcare riformism' for the current phase of capitalist development as a control operation, of maintenace, of improvement, of recuperation of workforce' productivity - so that the 'right to health and safety' would just be an indispensible precondition for the 'right to be expolited'.
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Another point of ccontention was the political horizon that wanted to push for the direct workers' control over the acceptable risk levels in any given productive process. This proposal, critics argued, lacked intellectual honesty, insofar as it was the totality of the current "mode of production" the factor responsible for the noxious technological and industrial developments of those years. Thus, "the best prevention is class struggle" they argue, of the kind that aims at removing the root causes behind the capitalist organization of exploitation.
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