With less access to paid leave, rural workers face hard choices about health, family

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With less access to paid leave, rural workers face hard choices about health, family
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Coastal and politically progressive states have passed stronger paid sick and family leave policies than many states with larger rural populations.

With limited paid family leave offered by her job, Ruby B. Sutton, an environmental engineer at a mining site in northeastern Nevada, decided to stay home with her new baby full time.With limited paid family leave offered by her job, Ruby B. Sutton, an environmental engineer at a mining site in northeastern Nevada, decided to stay home with her new baby full time.ELKO, Nev. — When Ruby B.

Tens of millions of American workers face similar decisions when they need to care for themselves, a family member, or a baby. Wild variations in paid leave regulations from state to state and locally mean those choices can be further complicated by financial factors.And workers in rural areas face even more challenges than those in cities, including greater distances to hospitals and fewer medical providers, exacerbating health and income disparities.

Experts say the gaps in paid leave requirements mean workers in rural areas often struggle to care for themselves or loved ones while making ends meet. The COVID pandemic steered attention toward paid leave policies as millions of people contracted the virus and needed to quarantine for five to 10 days to avoid infecting co-workers. The 2020 Families First Coronavirus Response Act temporarily required employers with fewer than 500 employees and all public employers to give workers a minimum of two weeks of paid sick leave, but that requirement expired at the end of 2020.

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