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Use and Abuse of the Family and Medical Leave Act "An employee with a chronic illness missed over 30 days in a calendar year, almost all on Monday or Friday. On most days off, he was observed driving his ATV on his farm. "A manufacturing employee was approved for intermittent leave under FMLA for migraine headaches. He has missed work for 12 of the last 15 Mondays. "An employee has a medical certification on file for a chronic kidney stone problem. She misses blocks of days, either Monday and Tuesday, or Thursday and Friday, allegedly due to pains from the kidney stones. However, the employee admits she has received no treatment for the condition or the pain after her initial episode. In 2005, 45 days of work were missed. Irate co-workers report her absences coincide with her partner's days off."23 The manager of a nursing unit submitted anonymous comments on the abuse and hardship that FMLA creates. "Family Medical Leave Act is extremely vague in identifying specific disease entities that qualify under `chronic illness.' Did you really intend for an employee who has a MD indicate `menstrual cramps' or `migraines' as a chronic condition to be excused from work for 12 weeks annually? This law is abused on a regular basis leading to excessive absenteeism. I manage a nursing unit, so when staff members fails to report to work, I must replace with another employee. The hospital is forced to pay overtime negatively impacting hospital operations. As the hospital is already subject to annual budget cuts from Medicaid and Medicare, this law is just one more contributor to demise of community hospitals across the country. The government intended to protect people who were being unfairly treated by employers but, the law is manipulated daily. The government should not be empowered to force human resource policies on private employers. If the law is to continue, it must be subject to major revisions."24 Allison Gehling from Select Health provides examples of the abuse of FMLA. "Unclear, or competing guidelines on the definition of `serious health condition' allows for abuse. An example of abuse of the FMLA occurs when employees are placed on disciplinary action for attendance issues. Claiming that the disciplinary action is stressful, employees then ask their doctors to certify them for intermittent FMLA due to their `stress' disorder. With the FMLA protection in place, employees can continue to violate their department attendance policies without consequence."25 and amphetamine. 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