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This thesis uses anti-racist and feminist political economy of health perspectives that intersect with immigrant status, in order to analyze the findings from a single-case study investigating the social determinants of health and work precarization in a residential long-term care (LTC) facility in Toronto, Ontario. Throughout this dissertation, I use mixed methods case study to investigate social, political, and economic implications in the lives of health care workers. Observation, interview, and survey methods were utilized to investigate workers health in relation to the precarization of work. Specifically, I used the concept of precarization as a lens to track the ways in which work relations impact the other social determinants of health. The main areas of focus include the intersections of gender, work, and occupational health with race, immigrant status, and culture; the ways in which precarization affects employees in this specific health care sector; the implications of precarization in the health and wellbeing of workers and their families; the role of (un)paid care work and social support provided by family members; and the exercise of strength, resilience, resistance, agency, and coping strategies. Broadly, I will argue that precarization in LTC is an increasingly experienced phenomenon, and that various levels of precarization are experienced by particular workers who are women, racialized persons, and immigrants. This study contributes to our understanding of racialization as a social determinant of health, and analyzes the health impacts of workplace inequality through the lens of precarization. The study makes the case for closer attention to racism and precarity both on and as social determinants of health.
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Poor peoples organizing can be effective even in periods of neoliberal retrenchment. This dissertation examines ruling relations and the social relations of struggle from the standpoint of the Ontario Coalition Against Poverty (OCAP) in Toronto, Ontario, Canada. With political activist ethnography as my central theoretical framework and methodological approach, I conducted field research, interviews and textual analysis of City and organizational documents. Focusing on OCAPs homelessness campaigns, I examine the social relations of struggle in three campaigns in Toronto: a campaign to stop the criminalization of homeless people in a public park by private security, a campaign to increase access to a social assistance benefit for people in emergency housing need, and a campaign to increase the number and improve the conditions of emergency shelter beds. My research demonstrates the active and ongoing research and theorization that anti-poverty activists engage in as well as the practices of delegitimization, excluding critique, testimonial injustice and epistemic violence that ruling relations engage in to counter activist research and theory. Some of this research and theory has regarded both Housing First policy and philosophy and Torontos emergency shelter system which OCAP, homeless people and other advocates have been decrying as unjust and inept for years. This dissertation explicates some of the ways that the City works to delegitimize its challengers and demonstrates the validity of many of the longstanding critiques of the ruling regime. While the City of Toronto has worked to contain homelessness organizing in Toronto, and deployed numerous demobilization tactics to do so, each campaign was fully or partially successful. Full or partial victories were secured by anti-poverty activists through the use (or threat) of direct action tactics.
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Poor peoples organizing can be effective even in periods of neoliberal retrenchment. This dissertation examines ruling relations and the social relations of struggle from the standpoint of the Ontario Coalition Against Poverty (OCAP) in Toronto, Ontario, Canada. With political activist ethnography as my central theoretical framework and methodological approach, I conducted field research, interviews and textual analysis of City and organizational documents. Focusing on OCAPs homelessness campaigns, I examine the social relations of struggle in three campaigns in Toronto: a campaign to stop the criminalization of homeless people in a public park by private security, a campaign to increase access to a social assistance benefit for people in emergency housing need, and a campaign to increase the number and improve the conditions of emergency shelter beds. My research demonstrates the active and ongoing research and theorization that anti-poverty activists engage in as well as the practices of delegitimization, excluding critique, testimonial injustice and epistemic violence that ruling relations engage in to counter activist research and theory. Some of this research and theory has regarded both Housing First policy and philosophy and Torontos emergency shelter system which OCAP, homeless people and other advocates have been decrying as unjust and inept for years. This dissertation explicates some of the ways that the City works to delegitimize its challengers and demonstrates the validity of many of the longstanding critiques of the ruling regime. While the City of Toronto has worked to contain homelessness organizing in Toronto, and deployed numerous demobilization tactics to do so, each campaign was fully or partially successful. Full or partial victories were secured by anti-poverty activists through the use (or threat) of direct action tactics.