As Canadians head into another flu and COVID season, many workers still face an impossible choice if they fall ill: stay home and lose pay, or clock in sick and risk spreading illness. This is more than an individual dilemma; it’s a predictable public health failure — one the government already knows how to fix.

Paid sick leave is good for both health and business, reducing the spread of illness while supporting workforce productivity, promoting better health outcomes and increasing labour force participation.

So why don’t all workers in Canada have it?

The costs of sick people going to work were starkly evident during the COVID-19 pandemic.

In 2021, Peel Region in Ontario became a hotspot for transmission. Research from Peel Public Health found that one in four employees went to work while showing symptoms of COVID-19, and about one per cent did so even after testing positive.

Mississauga Mayor Bonnie Crombie called these figures “evidence” that workers were being forced into a dangerous trade-off between “losing a paycheque and putting food on the table.”

And yet, Canada still lacks a comprehensive paid sick leave system. Access remains patchy, depending on the province, sector or employer. The Canada Labour Code mandates 10 days of paid sick leave, but only for federally regulated employees.

At the provincial level, only British Columbia (five days per year),

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