Each state watch its own workers ’ recompense benefits , which means workers in neighboring states can end up with dramatically unlike recompense for selfsame hurt .
At the time of their accidents , Jeremy Lewis was 27 , Josh Potter 25 .
The men lived within 75 miles of each other . Both were married with two child about the same years . Both even had tattoos of their children ’s name .

Their wound , suffered on the job at Southern industrial plant , were remarkably like , too . Each man lost a portion of his unexpended arm in a machinery stroke .
After that , though , their paths could n’t have diverged more acutely : Lewis received just $ 45,000 in workers ’ recompense for the loss of his branch . Potter was present benefit that could go by $ 740,000 over his lifespan .
The ground : Lewis live and work in Alabama , which has the land ’s lowest worker ’ comprehensive examination benefits for amputation . Potter had the comparative good destiny of losing his weapon across the border in Georgia , which is far more generous when it comes to such ruinous injuries .

This disparity grimly illustrates the geographic lottery that governs compensation for workplace injuries in America . Congress grant each state to find out its own benefit , with no Union minimum , so workers who go across state lines from each other can experience entirely dissimilar outcomes for identical injuries .
Nearly every land has what ’s known as a “ schedule of benefit ” that divides up the body like an Angus beef chart .
worker are award a portion of their wages up to the state maximum for the specified number of workweek assigned to each body part . But depending on those identification number , the final amounts can deviate wide .

The loss of an branch , for representative , is worth up to $ 48,840 in Alabama , $ 193,950 in Ohio and $ 439,858 in Illinois . The openhanded toe lay out from $ 6,090 in California to $ 90,401.88 in Oregon . Some states even put a value on the loss of a testicle .
While these benefit tables are just one part of a bombastic workers ’ comprehensive system , they provide a vivid motion picture of the wildly diverging , sometimes nonsensical patchwork of police that enrages employer and employees alike .
“ What ’s the difference ? You turn a loss your pegleg , it do n’t matter where you lose it , ” pronounce Eric Bennett , whose insurance firm says he ’s only entitled to the Alabama max of $ 44,000 for the peg he lost at a fertilizer pulverization . “ It should be the same . A leg is a ramification . ”

The tophus of such loss can be dehumanizing . One actor at a Jasper , Alabama , sawmill lost her thumb and every finger save her pinkie when her paw was embroil through the rusty gears of a trash wood conveyor belt . But instead of pay the larger kernel for her entire mitt , the John Stuart Mill ’s insurer has offer her only the benefits for each item-by-item finger’s breadth .
Given their wakeless impact on people ’s life , how much recompense workers get for traumatic injuries seems like it would be the product of class of study , combining medical wisdom and economic analysis . But in realness , the quantity are often the result of political expediency , sometimes based on bargains struck decennium ago .
Such conclusion are part of greater rollback in protection for hurt prole across the country . Over the preceding decade , a ProPublica and NPR investigation found , state after state has thresh workers ’ comprehensive examination benefits , driven by calls from employers and insurers to lower costs .

In fact , employers are now bear the low-toned rates for proletarian ’ comprehensive examination than at any time since the 1970s . however , heaps of legislature have alter their workers ’ comp laws , often citing the need to contend with neighboring state and be more attractive to business .
The changes have hale hurt workers ’ families and taxpayers “ to subsidize the vast legal age of the lose income and medical care costs yield by these condition , ” the Occupational Safety and Health Administration order in areportissued Wednesday that echo several of ProPublica and NPR ’s findings .
Alabama ’s amputation benefit , long among the land ’s stingiest , sent Lewis into just the kind of downward turbinate worker ’ comp was intended to prevent .

“ I mean , I done lost everything I own , ” said Lewis . “ I lost my household , three brand new vehicles . There was n’t no fashion that that amount of money was going to replace what I ’d lost . ”
After foreclosure , Lewis and his family move from their three - bedroom stucco home in a novel exploitation in Albertville to a rundown singlewide trailer on the fringe of townsfolk .
On the other side of the Alabama - Georgia molding , Potter has been able to keep some semblance of his former life .

The Georgia maximum for a baffled arm is $ 118,125 , more than double that of Alabama . More significantly , workers who lose a tree branch in Georgia are entitled to two - third base of their wages until they return to piece of work or , if they ca n’t , for as long as they go .
While Potter ’s barely getting rich off worker ’ comp , the $ 285 a week he get has forbid his family from going under .
“ I ’m lucky , ” he allege , upon hearing what happened to Lewis . “ As of right now , we ’ve lose one vehicle and one ’s falling apart . But we ’re build it work . I ca n’t conceive of if I had to go through what he has went through . ”

Origin in Hammurabi’s Code
The melodic theme of assign a economic value to the loss of a body part dates back to Mesopotamia . Around 2100 B.C. , King Ur - Nammu of Ur decreed that a man should give a certain amount of silver for get the red ink of a infantry ( 10 clams ) or a bankrupt limb ( one mina ) .
The same concept run through the better - known Code of Hammurabi and on throughout history .
When the first worker ’ comp legal philosophy were adopted in America in the early 1900s , legislator stick in similar words as a way of bringing some uniformness to the unambiguously harrowing lot of item-by-item injury .

Typically , under prole ’ comprehensive , employers are postulate to buy policy that covers medical bill and part of worker ’ wages until they ’re able return to work , a benefit predict “ impermanent total handicap . ” For the most dangerous injuries , after which people can no longer work , the insurance covers on-going lose wages under a welfare called “ lasting total impairment . ”
In between is a large gray area sleep with as “ permanent fond impairment , ” where workers are deemed capable to form in some capacity but have suffered serious wound that will affect them for the rest of their lives .
outdoors of medical cost , lasting partial disability is the most expensive and therefore most controversial part of worker ’ comp . Nearly 40 per centum of injured worker with miss - fourth dimension claims take in “ lasting partial ” benefits , according to the National Academy of Social Insurance , a nonpartizan administration that studies programs such as Social Security , unemployment insurance and worker ’ comprehensive .

The benefits are meant to correct workers for their loss of function as well as for future lose wages , but economists have found they do n’t come close , falling short even in states far more generous than Alabama .
A 2004 study by the W.E. Upjohn Institute for Employment Research in Kalamazoo , Michigan , note that 10 yr after their injuries , prole awarded lasting fond benefits had lost about 55 percent to 70 percentage of their earnings .
In part , this reflects that many workers who find benefit for fond impairment under workers ’ comp never return to piece of work . Some , like Lewis , are eventually deem permanently handicapped by the Social Security Administration and receive monthly checks from the Union government .

A Bargaining Chip
One of the things that makes Alabama ’s approach to lasting partial disablement benefit so puzzling is that almost everyone seems to agree that it ’s unjust .
The amount of lost wages covered — capped at $ 220 a hebdomad — was localise by the legislative body in 1985 . But unlike other parts of Alabama ’s workers ’ comprehensive law , it was never tied to inflation .
The amount is now the lowest in the land . allow for just $ 11,440 a year , it is below the poorness line of work for a exclusive person and not even half the poverty line for a kinfolk of four . And benefit for arm amputations , for example , terminate after four years .

“ I think it ’s ridiculous , ” said Sister Lynn McKenzie , a Catholic nun who used to be a worker ’ comp lawyer and province intermediator . “ There ’s no way you could feed a family on that , much less have a cap over your chief . ”
Even the head of the Alabama Defense Lawyers Association — a radical that typically represents bad employers and indemnity companies — agree .
“ It ’s an unfairness what they ’re doing , ” said Dudley Motlow . “ It ’s just too small . How much money do you have to make to be considered piteous folks in this land ? ”

Until the last decade , lawyers for spite doer used various loopholes to get courts to consider extenuating lot and obtain higher benefit . But since 2002 , the Alabama Supreme Court and the Court of Civil Appeals have made it progressively hard for worker with traumatic limb injuries to get anything more than what ’s outlined in the schedule of benefits .
Judges in many states can take into invoice a proletarian ’s eld or Department of Education when square up recompense for such injuries . Not in Alabama . There , a worker with a crushed hand who ’s only done manual Labour his entire life — and may be for good out of work — receives no more compensation than a actor whose helping hand is less important to his job .
“ What you ’re doing is saying , ‘ We do n’t give a damn if you ’re a brain surgeon or a bum on the side of the railroad track — you ’re going to get the same amount of money , ’ ” Motlow said .

Some Alabama Book of Judges have decry the commonwealth ’s paltry remedy for life - altering injuries , even as they ’ve acknowledged there ’s slight they can do about it .
“ The trial courts of Alabama see these workers forget our courtroom week after calendar week , without the ability to support themselves or their fellowship , because of their on - the - job permanent injuries , ” write Judge J. Scott Vowell of the Jefferson County Circuit Court in Birmingham in a lengthy 2008 ruling . “ They leave behind our courthouses with relatively pocket-sized ‘ lump center ’ checks in their pocket and after that is spend for their necessities , who knows or cares what becomes of them ? ”
Vowell call the $ 220 crownwork “ manifestly inadequate , ” but state it was up to legislator , not courts , to fix it , though he observe that injure worker “ have no effective lobbying radical to utter for them . ”
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“ Perhaps , ” he wrote , “ if the populace were made aware of the inequity of the present system , reform could be accomplished . ”
But Vowell ’s call has gone unheeded by Democratic and Republican political leadership likewise .
Attempts to raise the crown have been met with demands from the business community to reduce welfare elsewhere . Employers complain that Alabama ’s doer ’ comp system covers certain medical costs more munificently than other DoS and guarantees lifetime benefit to workers deemed permanently and totally disabled even if they be to 100 .

life-time benefits remain the norm in the huge absolute majority of the country , but several states , including Florida and North Carolina , have pass laws in late years snub off worker ’ comprehensive benefits at or near retirement years . Others , such as Mississippi , have long limited permanently handicapped workers to no more than nine year of benefits .
“ I could give you a list of some other thing that in Alabama are unfair to the employer , ” said Charles Carr , whose firm Carr Allison represents Walmart , Tyson Foods and Liberty Mutual Insurance , among others . “ I say that what we should do is we should define both sides of those inequities . ”
Carr contends that increase one workers ’ comp benefit without addressing others would make doing business in Alabama more expensive than in other country in the Southeast .
“ This state has got to stay competitory , ” said Carr , who is also executive director of the Alabama Self - Insurers Association , a group of companies turgid enough to yield their own claim without buying policy from insurance company . “ We ’re not become to be capable to pull industry if our overall workers ’ recompense costs are out of dominance . ”
Currently , Alabama ’s median premium costs rank in the middle of the pack , actor ’ comprehensive examination information shows . Arkansas and Mississippi are chintzy , while Louisiana and South Carolina are more expensive . Georgia ’s pace is about the same .
The only fashion to specify the problem , Carr said , is to get all the special interest groups to stop fighting . He called on Alabama Gov. Robert Bentley to form a “ blue - palm ” committee made up of representatives for worker , employer and the aesculapian community to descend up with a via media .
But McKenzie said the notion that injured worker should have to give something up to raise the $ 220 cap is “ fixing it on the backs of those who are hurt the most . ”
“ That ’s what I remember is virtuously wrong . ”
A Tale of Two Arms
The aroma of fried chicken drifts from the Pilgrim ’s Pride poultry works on the shoring of Lake Guntersville . sidereal day and night , trucks rumble in and out of the front gates through white wisps of smoke that give forth from the plant .
Lewis convey his start there in 1999 , when it was still owned by Gold Kist , following the path of his female parent , who put to work there as a gist grader for 32 geezerhood .
“ If you were n’t work there , you fairly much were n’t piss any money , ” Lewis allege , refer to the area ’s limited job opportunities .
Before his injury , Lewis earned an norm of $ 870 a calendar week including overtime . His wife also worked at the plant , and their meld income substantiate a middle - class home and life for them and their two children .
Lewis worked at the provender mill next to the processing works , loading motortruck with wimp feed for the ship’s company ’s various domestic fowl farms nearby . Zea mays and soybeans would pour out out of the predominate concrete silos through a downspout , and run along a conveyor , known as a chain plumber’s snake , to be made into feed .
One of Lewis ’ primary line was to ensure the corn and soybeans did n’t clog the spout and stop production . When that happened , Lewis had to use a farsighted metal rod to essay to unjam it .
The Clarence Day after Thanksgiving in 2006 , Lewis was at the tail assembly destruction of a 20 - hour day that begin at 3 a.m. and retain going when another proletarian called in sick . He ’d been jabbing at a clog for about 25 minutes around 10:30 p.m. , he aver , when he decided to do what he and others usually did when sabot were really tough : He climbed up on the chain augers to get a better slant .
But this time , he said , one of the metal cover on the wimble had n’t been beetle off down . His iron heel slipped , and Lewis fall down men first into the auger .
He hang there about 4 to 5 animal foot off the ground , he said , until the auger tear his left weapon system off and he came crash down in the mud .
The hand brake medical technician told him that he would in all probability phlebotomise to death before they reached the hospital . Lewis survived , but his arm had to be amputated first below his articulatio cubiti and later two inches above due to infection .
At first , Gold Kist turn away to pay workers ’ comp , take that methamphetamine use caused the fortuity . Lewis denied the accusation and a judge quickly give notice the company ’s argument , say it had fail to show enough evidence to even bring the allegation to visitation .
Lewis was awarded impermanent wage - replacement benefits while he was out of work and coverage for two prosthetic arm — a standard one with a metal hooking and an advanced one with an electronic helping hand that could be controlled with the remaining muscles in his amputated arm .
After nearly a class of recovery , Lewis ’ Doctor said his status had stabilise , and he went back to work in a light - duty line . The duty assignment did n’t last long , though , and Lewis before long find oneself himself back out at the provender mill .
Meanwhile , the difference of opinion over the lasting partial disability benefit to compensate him for the exit of his arm drop back on . Gold Kist was acquired by Pilgrim ’s Pride , which lodge for bankruptcy a duad of eld later on . Pilgrim ’s Pride then sold a majority wager to a Brazilian meat caller as part of its plan to exit bankruptcy . This delay Lewis ’ case .
Pilgrim ’s Pride did not reply to numerous requests for comment , and the lawyer who handle the title for the fellowship say he could n’t talk over it without his guest ’s permission .
Back at the feed mill , Lewis said , he did a series of caper with one weapon system — pulling forget me drug , climb ladders and turning a heavy rack to control the flow of chicken feed . One day in March 2009 , Lewis lose control of this bicycle and the force out tear the rotator cuff in his proper shoulder .
Lewis filed a 2nd workers ’ comp title for the new injury , even as he awaited payment for his first .
Finally , in March 2013 — six - and - a - half geezerhood after his hurt — the call for his sleeve was settle . A doctor determined he had lost 95 percent of his arm , which under the law is worth 211 weeks of pay at $ 220 per week , or $ 46,420 . Tired of waiting , Lewis decide to take the money upfront and agreed to a lump sum payment of $ 45,000 . Minus lawyer ’s fee and costs , he was left with rough $ 33,500 , about nine months ’ remuneration .
Five months afterwards , the company settled the claim for his torn rotator cuff . Though that injury was far less significant , Alabama look at injuries to the shoulder as impress the body as a whole . That intend Lewis could get out of the draconian benefit agenda and find higher recompense under a different part of the police force . His liquidation : $ 47,500 .
“ It blowed my mind , ” said Lewis , now 35 . “ I think of , I got award more for a rotator turnup than I did losing a whole arm . It ’s messed up . ”
Lewis and his family now survive on his married woman ’s wages at Walmart and his monthly Social Security handicap handicap .
‘Complete and Total Garbage’
About a calendar month after Lewis ’ case go down , less than 15 miles over the state line in the northwesterly Georgia town of LaFayette , Josh Potter was working at Unique Fabricating , an automotive supplier that made sound buffers and other insulation materials for the concourse of extraneous carmaker that had come to the South .
ceramicist operate a dice press , box up the part it stamp out and attract off the waste stuff . He was stand on a program with a mat on it when he lost his balance and fell face first .
Instinctively , Potter put out his hands to catch his fall .
“ I did n’t even see my hand had buy the farm under the head word of the machine , ” he said .
The machine crush his hired hand . There was nothing medico could do but amputate it .
“ It was like dust , ” Potter say . “ There was no fix the os . ”
Unique Fabricating declined to comment ; its insurer is ante up Potter ’s claim .
Like Lewis , Potter was fitted with two prostheses — a standard one with a hook and an in advance electronic one with a moveable hand that makes him look sort of like Robocop .
While Georgia has cut benefits to less seriously handicapped workers , it has create a designation called “ catastrophic ” for amputees like Potter and others who endure crushing injuries . The land ensure these worker are n’t left without any income .
Before his injury , Potter was earning between $ 400 and $ 500 a calendar week — about one-half of what Lewis was making . He and his family lived with his wife ’s father , who was inauspicious . They had programme to work up a house on the property one daylight .
The accident caused them to shelve those plans for now and reset their finances . With workers ’ comp , they ’re still capable to brood their one-half of the mortgage and pay their bills . But with less money coming in , Potter ’s married woman ca n’t afford to miss a daylight at her contraption store job . And they ca n’t go on family outings to the zoo or entertainment park anymore .
“ It might just be $ 60 to $ 80 , ” Potter said . “ But that ’s a bounteous thing for someone who ’s gloomy - income already . I ’m not rich , but I do n’t feel like I ’m misfortunate . ”
After hearing what Lewis received in Alabama , Potter said , “ I ’m thankful for what I ’ve pose now .
“ I have in mind , he lost a part of his lifespan for a fellowship , and they ’re not even going to make it where he can live possibly not well , but decent , ” he said . “ To me , that ’s complete and full garbage . ”
Images byGareth HarfootandNadia Martinezunder Creative Commons permit .
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