Booster Shots

Oddities, musings and some news from the world of health.

Californians not using paid family leave program

Reiner300 In 2004, California became the first state in the nation to enact a law providing paid time off for employees who need to care for a newborn baby or a sick loved one. Funded by all workers through the State Disability Insurance program, the law allows employees to collect up to 55% of their salary, up to a limit, per week.

It's a terrific law for families -- if only people knew about it. A study published today in the Journal of the American Medical Assn. examined California parents of children with special health needs -- a group that is more likely to use such a benefit. The study found that only 5% of those surveyed had used the program. Only 18% had even heard of the program. The law has made no difference in the percentage of parents taking leave from their jobs to care for ill children or loved ones when compared to similar parents who live in a state (Illinois) without such a law. Nor is it linked with any increase in the amount of leave parents are taking.

"We thought these parents would learn about the law and would use it to spend more time with their seriously ill children," said Dr. Mark Schuster, a professor of pediatrics at Harvard who authored the study for the RAND Corp. "We were surprised that the vast majority of these parents didn't even know about the program. Parents seem to have no idea that they are paying for this benefit. They're leaving money on the table at a time when they could really use it to be with their sick kids."

Some workers might feel that even 55% of their salary isn't enough to cover them while they take some time away from work, said Dr. Paul Chung, a RAND researcher and assistant professor of pediatrics at the David Geffen School of Medicine at UCLA. Other workers might feel that if they take the leave they will lose their jobs.

Ultimately, however, the biggest problem is letting California workers know that this benefit is available to them, says Dr. John M. Neff, of Children's Hospital and Regional Medical Center in Seattle. In an editorial accompanying the study, Neff noted that failure to use the program could cost the state, employers and workers more money in the long run if employees end up quitting their jobs to care for ill family members and lose their employer-based health insurance.

Go to the California Paid Family Leave Law website to learn how the program works.

-- Shari Roan

Photo: Actor-director Rob Reiner was a leading advocate for the Paid Family Leave Law, which passed in 2004. Credit: Robert Durell/Los Angeles Times.


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Tami Dennis, who takes the word "skeptic" to previously uncharted territory, is editor of The Times' Health section. She's adamant that pitches promoting awareness days, weeks or months are, by their nature, non-stories. And, because she's an adult, she refuses to use words like "veggies," "tummy" and "yummy."
Rosie Mestel, Health section deputy editor, studied genetics before abandoning flies, fungi and DNA for health/medical writing. Her hero is the biologist Ernst Haeckel, whose jellyfish paintings inspired snazzy chandeliers. Her favorite toast-spread is Marmite, a British delicacy made of yeast extract. Her least-favorite word is "millenniums."
Melissa Healy is a staff writer for the Health section reporting from Washington D.C. Healy's a veteran of The Times' National staff, having covered the Pentagon, Congress, poverty and social welfare, the environment, and the White House before shifting to Health in 2003. She writes frequently about mental health and human behavior, about federal health policy, prescription medication and ethics in medicine. More wonk than wellness freak, Healy chooses to believe in the health benefits of coffee and wine, and considers water a better work-out medium than beverage.
After a brief stint as a sports writer, Shari Roan turned to health journalism and has covered the topic for The Times for 18 years. She is the author of three books and the mother of two daughters, both teenagers who refer to her as a "health freak." She likes to jog, watch baseball and is very happy that dark chocolate contains some health benefit.
Jeannine Stein writes about fitness, sports medicine and obesity for the Health section. She’s a gym rat from way back and never met an elliptical trainer she didn’t like. Well, maybe one or two. She tempers exercise with a steady diet of reality television because she believes it’s all about balance.