Paid family and medical leave is a confusing mess: only 27% of private-sector workers get paid leave from their employer. Some others are covered by state programs, but those vary. The rest of us scramble to patch together short-term disability with other paid time off, if we have it. Meanwhile, the United States instead has a federal Family Medical Leave Act that protects unpaid time off. Truth is, sooner or later, nearly everyone needs time away from work to care for a sick spouse, a new baby, a dying parent, or to recover from one’s own illness or injury. And they shouldn’t have to go broke to do it. An idea this popular — supported by about 80% of Americans in polls — shouldn’t be this hard. If paid family and medical leave were added to Social Security, that would give every worker benefits that follow them across jobs and states. The infrastructure already exists. But there’s a lot of heel-dragging in Congress because expanding Social Security can’t be done before dealing with its long-term funding.

Read more:

• Paid Leave Works: Evidence from State Programs [National Partnership for Women & Families 2023] — A good primer on paid family and medical leave.
• Economic Effects of Offering a Federal Paid Family and Medical Leave Program [Congressional Budget Office 2021] — CBO analysis of a version of paid leave that was proposed in the Build Back Better Act, but that died in the Senate.
• A National Paid Leave Program Would Help Workers, Families [Center on Budget and Policy Priorities 2021] — Outline of what would be in a comprehensive program.
• New parents aren’t the only people who need paid family leave [Urban Institute 2018] — Pretty self-explanatory.
• Paid Leave for Illness, Medical Needs, and Disabilities: Issues and Answers [Brookings and the American Enterprise Institute 2020] — Chapter on how this could be implemented from a joint Brookings-AEI project.
• Paid Leave Working Group Request for Information Response [Urban Institute 2024] — Response to Congressional working group’s request for input on paid family leave.