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GABRIEL WINANT discusses his new book, The Next Shift: The Fall of Industry and the Rise of Health Care in Rust Belt America. Although still primarily associated with the booming steel industry of the mid-twentieth century, Pittsburgh today has more hospitals than steel mills. Tracing the decline of steel through to the emergence of a thriving—but unpredictable and low paid—care economy, Winant’s history offers insight into not only the changing labor makeup of Pittsburgh but also the broader economic shifts throughout the country. Winant joins M. EDITH SKLAROFF to explore the changing face of the working class, the role of precarity throughout the history of labor, and the increasing importance of centering health care and other essential workers during the COVID-19 pandemic and beyond.