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In this paper, we examine discourse in public deliberations in pre-development locales in the UK and US about advantages and disadvantages of future shale development ('fracking'). We aimed to understand how people anticipate potential health effects, broadly construed, of environmental toxicity and disturbance in the context of planned, but not yet implemented, energy development. In day-long deliberations with small, diverse groups in two cities in each country (London, Cardiff in the UK; Los Angeles, Santa Barbara in the US), participants discussed impacts on health and well-being using three main rubrics: 'It's money or health', 'Why take chances?' and 'Beyond the tipping point'. Throughout, participants framed health as an intrinsically moral issue, with collective responsibility as a dominant normative frame. We identify the concept of compound risk to underscore effects of multiple risks and hazards on people's sensibilities about anticipated future health and environmental harm. The findings demonstrate how and why diverse publics in pre-impact sites in both countries saw shale extraction as high stakes development that poses significant, often unacceptable, risks to human and environmental health and well-being. Risks extended beyond toxicity to broad threats to health, including, for some, the end of life as we know it on the planet. Overall, participants' discussions of health were more connected to social categories and their underlying moral principles than to technological details. This work contributes evidence of blurred boundaries between environment and health as well as the importance people place on social risks in the context of proposed energy system change. [ABSTRACT FROM AUTHOR]

There have been few studies of people’s experiences of receiving care from migrant workers. This is despite the growing move to employ migrants to provide care and support for older and disabled people in the developed world. This article reports empirical findings from a study of migrants working in social care in England conducted between 2007 and 2009. It focuses on the reported interactions between service users and carers with migrant workers. Face-to-face semi-structured interviews were conducted with 35 adults receiving social care services and family carers in home and residential settings who had a variety of needs for care and with support. Analysis highlighted the range of their experiences. An emerging theme arising from the interviews was that of communication and the difficulties experienced by people using care services, or family carers speaking on their behalf, of understanding and being understood by care workers whose spoken English was not easy for them to comprehend. Social workers will need to be alert to alert to the risks facing service users, carers and migrant care workers in such contexts. We conclude that the marginal position of both social care users and migrant workers is reflected in these micro encounters. [ABSTRACT FROM AUTHOR]