Tag Archives: Healthcare

Paid Leave Benefits When You Are Unable to Work

Many American workers have lost jobs or had their work hours reduced as a result of the COVID-19 pandemic and response efforts. Many other workers still have jobs, but their work environment probably has changed since March. It’s reasonable to assume more people are working from home now than the 29 percent we reported who could work at home in 2017–18. At BLS we are still working to provide you with the latest economic data and analysis, but nearly all of us are now working from home, instead of in our offices.

Still, there are many jobs that just can’t be done from home. In these challenging times, I know we all are grateful for the healthcare workers who are treating patients who have COVID-19 and other medical conditions. We’re grateful for our emergency responders and for the truck drivers, warehouse workers, delivery workers, and staff in grocery stores, pharmacies, and other retail establishments that provide us with the necessities of daily life. As much as I think of these men and women as superheroes, I know they are humans. Even extraordinary humans can get sick, or they may need to take care of family members who get sick. Let’s look at the leave benefits available to them if they need it.

According to our National Compensation Survey, 73 percent of private industry workers were covered by paid sick leave in 2019. Among state and local government workers, 91 percent were covered by paid sick leave. The availability of sick leave benefits varied by occupation, ranging from 94 percent of managers in private industry to 56 percent of workers in construction and extraction occupations.

The share with paid sick leave also varies by industry, pay level, size of establishment, and other characteristics of jobs and employers. The following chart shows sick leave availability for employers of different sizes.

Percent of workers in private industry with access to paid sick leave by establishment size, March 2019

Editor’s note: Data for this chart are available in the table below.

Paid sick leave plans commonly provide a fixed number of days per year. The number of days may vary by the worker’s length of service with the employer. The average in private industry in 2019 was 7 paid sick leave days.

Average number of paid sick leave days per year for workers in private industry, by length of service and establishment size, March 2019

Editor’s note: Data for this chart are available in the table below.

About half of workers with such a plan could carry over unused days from year to year.

We recently posted a new fact sheet on paid sick leave that provides even more detail.

In the past few years, some states and cities have mandated that certain employers provide their workers with paid sick leave. We include these mandated plans in our data on paid leave. A Federal law passed in March 2020 requires paid sick leave for certain workers affected by COVID-19.

In addition to paid sick leave, some employers offer a short-term disability insurance plan when employees can’t work because of illness. These plans are sometimes called sickness and accident insurance plans. This was traditionally a blue-collar or union benefit, and it often replaces only a portion of an employee’s pay. In 2019, 42 percent of private industry workers had access to such a benefit. Like sick leave, the availability of short-term disability benefits varies widely across worker groups. Some states provide Temporary Disability Insurance plans that provide similar benefits.

While the National Compensation Survey asks employers what benefits they offer to workers, the American Time Use Survey recently asked workers whether paid leave is available from their employer and whether they used it. In 2017–18, two-thirds of workers had access to paid leave at their jobs. These data include information on age, sex, and other characteristics. For example, younger workers (ages 15–24) and older workers (age 65 and older) were less likely to have access to paid leave than were other workers.

Percent of workers with access to paid leave by age, 2017–18 averages

Editor’s note: Data for this chart are available in the table below.

While the survey did not ask workers to classify the type of leave, they were asked the reasons they could take leave. Of those with paid leave available, 94 percent could use it for their own illness or medical care, and 78 percent could use it for the illness or medical care of another family member.

I hope you and your loved ones remain healthy and are able to take care of each other in these challenging times. High-quality data will be vital in the public health response to the COVID-19 pandemic. High-quality data also will be vital for measuring the economic impact of the pandemic and recovery from it. My colleagues at BLS and our fellow U.S. statistical agencies remain on the job to provide you with gold standard data.

Percent of workers in private industry with access to paid sick leave by establishment size, March 2019
Establishment sizePercent

1–49 workers

64%

50–99 workers

68

100–499 workers

80

500 workers or more

89
Average number of paid sick leave days per year for workers in private industry, by length of service and establishment size, March 2019
Length of serviceAll establishments 1 to 49 workers50 to 99 workers100 to 499 workers500 workers or more

After 1 year

76678

After 5 years

77679

After 10 years

77779

After 20 years

77779
Percent of workers with access to paid leave by age, 2017–18 averages
AgePercent

Ages 15–24

35.4%

Ages 25–34

70.3

Ages 35–44

71.7

Ages 45–54

74.4

Ages 55–64

74.2

Age 65 and older

51.7

Experimental Disease-Based Price Indexes Now Available

I am extremely pleased to announce that BLS has released a new data product, experimental disease-based price indexes.

These indexes will give data users better ongoing information about the evolution of the nation’s healthcare system. Because healthcare is such a large part of our economy, it is incredibly important we produce timely, accurate, and reliable medical statistics.

Currently, all federal statistical agencies report healthcare data by what’s called the “medical goods and services categories.” However, this approach doesn’t tell us one important thing: Which diseases have the greatest effect on healthcare spending over time?

After identifying the diseases that affect spending the most, we can drill down to learn the reasons for their growth. With disease-based price indexes, we can break down the growth into categories, such as the parts that come from inflation, population growth, growth in disease prevalence, and real per capita output growth. We can’t do any of this with our traditional medical goods and services categories, such as physician services, pharmaceuticals, and hospitals.

The Bureau of Economic Analysis now reports spending by disease in their national healthcare satellite accounts, so we also need disease-based price indexes to adjust for inflation. Disease-based price indexes measure healthcare inflation differently and capture the effects of innovations that our traditional medical goods and services price indexes do not. For example, better surgical procedures have enabled doctors to perform many types of surgery using a less expensive outpatient setting, instead of an expensive inpatient hospital. The disease-based price indexes allow us to measure the effect of this shift.

I am incredibly proud of the team who produced these experimental disease-based price indexes. These indexes fulfill our BLS mission to continuously improve our products and provide timely, accurate, and relevant data to our users. These indexes also come at no additional cost because of the team’s innovative use of existing data, such as the freely available Medical Expenditure Panel Survey. We at BLS strive every day to provide the best value for your taxpayer dollars, and this is a shining example of that effort!

We also could not provide gold-standard data such as these indexes without the help of our survey respondents. I deeply appreciate all the medical providers who voluntarily participate in our survey. Their cooperation is essential for generating our medical price indexes and ensures our healthcare data are accurate.

Disease-based price indexes are still in their infancy, and we have much to learn, including the best way to incorporate them into overall price indexes. That’s why we describe them as experimental. We hope data users will find them helpful. We invite you to share your thoughts and ideas to help us continue to develop these indexes. And, as Commissioner, I hope you can see why I am so proud of this key contribution BLS has made to ensuring better medical statistics now and in the future.