Abstract
This paper examines how the jobs and skills of semi‑skilled logistics workers in a Danish hospital are reshaped during the automation of logistics. We explore the dynamics of their inclusion and exclusion in the design of automation and how, despite lacking real influence, they feel compelled to maintain the fragile logistics system because of a strong moral commitment to the patients’ safety. Our analysis combines theories of employee voice and representation with a framework of care ethics and care logics. The study extends knowledge on how technological change reconfigures lower‑skilled work and redraws boundaries between occupations. The social processes through which such occupational shifts unfold remain underexplored, leaving key questions about how new roles and work practices emerge, and how occupations, unions, and managers participate in these transformations.