If you had any idea on how US orgs work, you wouldn't say that. First, just because the government doesn't impose something, it doesn't mean companies can't do it. In fact, companies so much more for their employees than the government dictates. It's the same for minimum wage: the federal government might be stuck at 7.25, but in practice low pay jobs are more than that: Walmart was 11 last time I checked, Amazon 15 etc.
Most US tech workers have around 20 days of PTO. Paid medical leave is a bit trickier: some companies don't give it to you so it comes out of PTO. Some companies require a doctor's note. Some don't require anything. Some require a note after 10 days....it varies a lot. And this is where the US could step up a bit and acknowledge humans do get sick every now and then, and cover for that.
Do you have any source for that? My limited research[0] shows it's closer to 15 - and sometimes, as you say, this includes sick days. It can't be compared to Europe where you have 4 weeks, guaranteed, for any industry, plus sick days - and many cou. Fortunately WfH greatly reduced the strain reduced with working in the office (commuting, open spaces, not being able to use your time more efficiently), but for non-office workers the problem still remains: you spend your life working and you barely have time to even stop and think why you're doing all this. Family life suffers, Cat's Cradle and all. It's all really wrong.
[0] https://www.advanced-hr.com/vcReport/2016-Sequoia-Benchmarki...