Feds Eye Effectiveness of State Workers’ Compensation Systems By: Adele L. Abrams, Esq., CMSP. A new report by the U.S. Department of Labor (DOL) highlights the ways that monetary compensation and medical care for workers harmed in workplace accidents has been undermined in recent decades, and could signal a willingness to change its traditional “hands off” approach to these systems in the next administration. The U.S. Bureau of Labor Statistics estimates that, on an annual basis, nearly 3 million serious occupational injuries and illnesses occur, and approximately 4,500 workers are killed on the job.