The general aim of this chapter is to investigate the health and work-related consequences of the reorganization and downsizing of the administration of a large retail company. A tradition of active unionism, with a large proportion of union members in the company, gave a unique opportunity to evaluate member satisfaction with union initiatives. The union tried to reduce damage to its members through representation on the company board and by raising demands in negotiations. The study compares four employment-status groups two years after the downsizing took place: persons who are still unemployed after being laid off, those who managed to get a new job, early retirees, and those who are still employed (survivors). The groups are compared with regard to attitudes towards company and unions, and predictors of distress.