Dear doctors, what exactly is going on with sick notes these days?
The average number of sick days is rising… relentlessly....
The average number of sick days is rising… relentlessly. Soon the amount of sick leave taken by employees will even exceed the statutory minimum holiday entitlement. And yet it was assumed that, because of the extensive working-from-home rules, the number of sick days would actually go down on average. But they aren’t. This leads to an enormous economic burden. And do doctors share some of the responsibility?
First of all, if doctors are all so good, why are people ill so often? And secondly, shouldn’t we perhaps point out to the doctors – typically high earners – what their actual position in the economy is? Here’s the hard truth: doctors generally make no contribution whatsoever to net economic output. Doctors are paid by the collective of health-insurance contributors – a compulsory levy. Even the taxes doctors pay in abundance are, in the end, funded by the same insured community.
So why do doctors harm this very community so often? Because it costs them nothing? I’ve just looked at around 200 sick notes in my company. Why do they always run from Monday to Friday? Wouldn’t Monday to Thursday be enough sometimes? I’ve never seen that happen.
And what I also have never seen are »restricted« sick notes. A doctor can quite easily classify an employee with an injured foot as »unfit to drive«, which would allow the employer to have them work from home or pay for a taxi. Or a doctor could give a recommendation such as: »The employee is suffering from a contagious illness but can easily work five hours a day, should be allowed to sleep in, and must avoid contact with other people.« An employer is bound by such a note – and may or may not still be able to make use of the employee.
But as I said: I have never seen anything like that in 33 years as an employer. Frankly, it’s a scandal – and perhaps it’s time to consider whether employers might, one day, have a claim for damages based on such omissions. I’d be in favour of that!