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Medical laboratory technology is currently the third largest health profession in Canada but those who work in it remain largely invisible, both to the public and in the literature. In Labour in the Laboratory Peter Twohig examines the origins of the laboratory workforce in the Maritime provinces and rethinks the broader history of the twentieth-century Canadian hospital. --Publisher's description.
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Medical laboratory technology is the third largest health profession in Canada. Yet, these workers are largely invisible, both to the public and historiographically. Even recent studies of laboratory medicine make only fleeting reference to workers at the bench. This study examines the origins of the laboratory workforce at the Pathological Institute in Halifax in particular, and the Maritime provinces more generally. It utilizes hospital, university and archival records to demonstrate how this workforce was created as part of a "health care team" and the implications this had for the workers themselves. As Canadian hospitals grew in number and bed capacity over the opening decades of the twentieth century, they also grew in complexity. Hospitals added new services, including departments such as dietetics, x-ray and expanded laboratory facilities. As these services matured, the routine work passed from physicians working alone to specially trained workers. Yet, this process was not uniform and remained remarkably incomplete. In the first half of the twentieth century, laboratory workers did not share a common education, training experience, or labour process. Hospital workers in the Maritimes and elsewhere did not necessarily perform discrete tasks and many, notably nurses, assumed duties in the laboratory. The workers themselves had diverse educations and work experiences. Well into the 1950s, the "laboratory worker" was a diffuse concept. The demands of patients and physicians for enhanced services, the constraints of budgets, recruitment and retention problems, and the interests and desires of workers themselves combined to shape laboratory work. Viewed from the laboratory, the story of the twentieth century Canadian hospital is not one of ever-expanding specialization, but rather a complex milieu where the social relations of skill and gender found bold articulation.
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To be published: July 2026. The Labour of Care is the first national, comparative history of health care work. In this book, historian Peter L. Twohig analyses the responses of governments, employers, professional groups, training programs , and unions to the challenge of staffing Canada’s health care system and the reorganization of care.Through careful archival analysis, Twohig demonstrates the conditions under which employees’ boundaries become more flexible, the paths to health care work expand, and tensions emerge among workers in response to labour shortages, decreased funding, and health care reform. This book is attentive to the various identities of health care workers, as women, professionals, union members, and more. It also situates these developments within broader social, economic, and policy changes that reshaped Canada’s health care landscape in the second half of the twentieth century. Examining health care workers in this way reveals a new history of health care that highlights the experiences and contributions of a wide range of workers whose voices have not yet been heard. --Publisher's description
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