We study the adoption of lean production in American manufacturing for the past fifteen years. It is based on an intensification of work and is accompanied by an increase of occupational injuries and illnesses. Thus, for detailed manufacturing industries, we proxy reorganization by an indicator "I-reorganization" computed from occupational health statistics. I-reorganization develops in high-wage sectors and is not dependent from the office technologies. It improves productivity dramatically. Labor decreases in the I-reorganized industries but I-reorganization is not skilled-employment biased. Computerization seems to be efficient only in I-reorganized industries. Gains sharing among production workers, non-production workers, profits and consumers is unbalanced and increases the inequalities. The services have a similar experience.
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