When sick, you continue going to work until you wind up in the ER. If you're lucky, you don't get fired when you're there. Only exaggerating slightly. It's pretty sad.
As for what happened, the US isn't highly unionized outside certain regions and trades. Everybody else has next to zero legal protection. White collar workers typically get some leave simply by virtue of having skills that are more in-demand. And the labor movement largely allowed conservative, anti-labor factions to cast them as evil socialists. In the US, "liberal" has long been a bad word.