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The Latest Research, Commentary, And News From Health Affairs

Monday, July 26, 2021

Dear John,

A new study found that US sick leave policies disproportionately exclude
certain groups and differ significantly from peer countries.

US Sick Leave Eligibility Rules Widen Inequalities

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In a new article released ahead of print today, Jody Heymann and
colleagues break down how eligibility requirements for sick leave
-as
illustrated in the 1993 Family and Medical Leave Act (FMLA), which
provides job protection but no pay-contribute to disparities in leave
access.

The authors find that FMLA eligibility restrictions exclude 50.3 percent
of private-sector and self-employed workers from coverage. Specifically,
"the FMLA's minimum hours requirement disproportionately excludes
women, while its tenure requirement disproportionately excludes Black,
Indigenous, and multiracial workers."

They also point out that US policies differ significantly from those of
its peers: "Every other high-income country provides paid sick leave
to all workers regardless of firm size, and nearly all countries with
paid sick leave cover workers regardless of hours, while a majority do
so regardless of tenure."

Another article published this month in the July issue of Health Affairs
focuses on Puerto Rico
,
a US territory with a 99 percent Latino population. Alexandra
Rivera-González and coauthors found that among the major non-Puerto
Rican Latino subgroups in Puerto Rico, "citizens have a significantly
higher probability of being insured compared with noncitizens."

Today on Health Affairs Blog, Brian Miller and coauthors describe how
the Veterans Health Administration's proposed Veterans Health Advantage
Program

can adapt successful models from TRICARE.

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Your Daily Digest

US Sick Leave In Global Context: US Eligibility Rules Widen Inequalities
Despite Readily Available Solutions

Jody Heymann et al.

The Other US Border: Health Insurance Coverage Among Latino Immigrants
In Puerto Rico

Alexandra C. Rivera-González et al.

To Transform Veterans Health Care For The Next Generation, We Should
Learn From TRICARE

Brian J. Miller et al.

 

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