Coal miners’ struggles with black lung disease can be traced to the 1800s. Back then, coal miners fought to make the industry accept that coal mine dust was the culprit behind black lung disease, but they failed. By 1900, some clinicians started recognizing that coal miners suffered from anthracosis or asthma. The miners realized that they could accomplish more if they worked as a team and formed the United Mine Workers of America. They attempted to get compensation for disabled coal miners but failed repeatedly. Their hard work gradually brought about change with the passage of the 1969 Federal Coal Mine Health and Safety Act which allowed the government to inspect coal mines, establish safety coal-dust level policies, and compensate sick ...