More nefariously (and a point that many people often miss) recovering from a major illness is a full-time job. People who are very, very sick don't have the mental concentration or energy to even do a desk job. And if the job involves manual labor they're even more screwed. Strenuous physical activity during an illness can exacerbate the symptoms and kill the patient. Even having to stand for eight hours can greatly harm outcomes. So sick people have the worst of both worlds: accruing enormous expenses for incredibly pricey life-saving procedures and drugs, all while having their earnings drop to zero.