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>Why wouldn't you want all the sick+personal days to use as you see fit?

Another thing that is important to point out is that leave days are sometimes an earned entitlement ultimately paid out to you if not taken, whereas sick leave isn't.

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That's a good point. It may also be worth pointing out that's the case with "unlimited" vacation as well. Even if you're not cynical about whether employees will be able to take a reasonable amount in practice, it's certainly the case that nothing needs to be paid out when you leave. Which for someone moving around jobs a fair bit can add up over time.

From what I understand-and perhaps it varies by state-it's just left to the benevolence of your employer whether your accrued vacation days are actually paid out to you or if they just disappear in the US if you for example leave a company or don't use all of them within a certain time.

It's kind of insane to me that they can just be taken away like that.

It may vary by state but it's always been paid out to me as far as I can remember based on three different states. (This type of thing does tend to be state-based law and does seem to be [1].) "Use it or lose it" also is prohibited in a few states although (I'm assuming) all of the others do allow accumulation caps.

[1] http://ask.legalsolutions.thomsonreuters.info/cc-nto-vacatio....

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