Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Ensuring compensation during absences

Deepak Gupta, MD and Sarwan Kumar, MD
Physician
August 25, 2023
Share
Tweet
Share

As human needs continue to evolve, it is essential for our systems to adapt accordingly. One perplexing question is who bears the cost of human work. Do the systems pay for human labor, or do humans contribute to the systems, which, in turn, pay for their work? From an economic perspective, it boils down to humans paying for humans to work through human-devised systems. We won’t delve into the idea of environments paying for humans’ expanding needs, as that discussion can be saved for another time.

The primary focus here is on how workers can be compensated during their leaves of absence, possibly with leave insurance, and how systems can remain financially stable during periods of absent workers, possibly through absence management.

To provide a clearer perspective, let’s consider two familiar scenarios. Vehicle insurance is obligatory for vehicle owners, but some might choose not to file claims to avoid the risk of increased premiums. Instead, they might pay for vehicle repairs out-of-pocket if it’s more cost-effective. However, for planned maintenance and repairs, they may opt for additional coverage like mechanical breakdown insurance or a vehicle service contract (extended warranty) if not already covered by a powertrain or bumper-to-bumper warranty.

Similarly, employees taking leaves of absence might carefully opt for unpaid leave if they can receive payments from their leave insurance companies without facing higher premium rates.

Another example involves interstate freeways with four lanes in each direction being reduced to two lanes due to year-round construction. This causes a slight increase in daily commute time for commuters but creates ongoing construction job opportunities. To offset the inconvenience, commuters could be offered toll discounts during the construction period, with the possibility of toll premiums after the freeway upgrades are completed.

Similarly, non-absent employees who take on extra workloads due to absent colleagues’ unpaid leaves of absence may also be compensated if financially solvent employers benefit from the cost-saving measures during those times.

Employees can take leaves of absence without leaving their jobs due to planned and unplanned absences. Firstly, they can plan their leaves well in advance, and employers can schedule these as allowable paid vacations. Secondly, if employees plan for more leaves than the allowed paid vacations, employers can set upper limits on allowable unpaid leaves, considering potential paid overwork for non-absent employees or payments for temporary locums.

Thirdly, while adhering to evolving leave insurance and absence management laws and bylaws, employees can autonomously decide the frequency and duration of their unpaid leaves based on the tolerable changed work environments upon their return, as per the conditions set by their solvent employers. Fourthly, appropriately paid premiums to leave insurance companies may financially support employees during their unpaid leaves, while their employers can utilize the saved funds to compensate overworking non-absent employees or hire temporary substitutes.

Finally, employees should have the flexibility to take any number of leaves of absence, if employers and non-absent employees do not bear the consequences of their absence. Similarly, employers should be able to welcome back absent employees without disruptions to other employees’ work environments, as long as the prior periods of absence are managed effectively.

Deepak Gupta is an anesthesiologist. Sarwan Kumar is an internal medicine physician.

Prev

Exploring how thoughts shape emotions and perception [PODCAST]

August 24, 2023 Kevin 0
…
Next

Why embracing money conversations is good for your health

August 25, 2023 Kevin 0
…

Tagged as: Anesthesiology, Primary Care

< Previous Post
Exploring how thoughts shape emotions and perception [PODCAST]
Next Post >
Why embracing money conversations is good for your health

ADVERTISEMENT

More by Deepak Gupta, MD and Sarwan Kumar, MD

  • Rethinking residency: How to reshape graduate medical education

    Deepak Gupta, MD and Sarwan Kumar, MD
  • How night volunteers could transform health care during staff shortages

    Deepak Gupta, MD and Sarwan Kumar, MD
  • Paper vs. electronic records: Why a blend is essential for modern health care

    Deepak Gupta, MD and Sarwan Kumar, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • What’s the future of the physician assistant?

    Dale J. Bingham, PA-C, MPH
  • The solution to a crumbling primary care foundation is direct primary care

    Sara Pastoor, MD
  • Primary Care First: CMS develops a value-based primary care program for independent practices

    Robert Colton, MD
  • Negotiating a raise with the right compensation data

    Kyle Claussen, JD
  • Chasing numbers contributes to physician burnout

    DrizzleMD

More in Physician

  • Why ABIM’s use of Medicare claims data violates physician autonomy

    James Rudolph, MD
  • Iranian physicians in 2026: a testament to medical courage

    Farid Sabet-Sharghi, MD
  • How IDIOT syndrome threatens value-based health care

    Olumuyiwa Bamgbade, MD
  • Why leaving hospital medicine for private practice was worth the risk

    Shiv K. Goel, MD
  • Why physician neutrality in the face of harm is a choice

    Timothy Lesaca, MD
  • How night shift medicine exposes the reality of physician stress

    Chinyelu E. Oraedu, MD
  • Most Popular

  • Past Week

    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Why we need a new medical specialty to fix corporate medicine

      Allan Dobzyniak, MD | Physician
    • Scientific writing and AI: Balancing authorship and assistance

      Rao M. Uppu, PhD | Tech
    • The dysfunctional medical malpractice marketplace and tort reform

      Howard Smith, MD | Physician
    • Medicine and the United Nations Sustainable Development Goals

      Olumuyiwa Bamgbade, MD | Policy
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • Why bariatric patients struggle with protein and how to fix it

      Kevin Huffman, DO | Conditions
    • Why ABIM’s use of Medicare claims data violates physician autonomy

      James Rudolph, MD | Physician
    • Iranian physicians in 2026: a testament to medical courage

      Farid Sabet-Sharghi, MD | Physician
    • Why hospital systems fail to notice the human behind the bill [PODCAST]

      The Podcast by KevinMD | Podcast
    • A patient’s poem on invisible illness and trauma-informed care

      Michele Luckenbaugh | Conditions
    • How a minor dry cough amplifies caregiver burden in home health care

      Gerald Kuo | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Why we need a new medical specialty to fix corporate medicine

      Allan Dobzyniak, MD | Physician
    • Scientific writing and AI: Balancing authorship and assistance

      Rao M. Uppu, PhD | Tech
    • The dysfunctional medical malpractice marketplace and tort reform

      Howard Smith, MD | Physician
    • Medicine and the United Nations Sustainable Development Goals

      Olumuyiwa Bamgbade, MD | Policy
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • Why bariatric patients struggle with protein and how to fix it

      Kevin Huffman, DO | Conditions
    • Why ABIM’s use of Medicare claims data violates physician autonomy

      James Rudolph, MD | Physician
    • Iranian physicians in 2026: a testament to medical courage

      Farid Sabet-Sharghi, MD | Physician
    • Why hospital systems fail to notice the human behind the bill [PODCAST]

      The Podcast by KevinMD | Podcast
    • A patient’s poem on invisible illness and trauma-informed care

      Michele Luckenbaugh | Conditions
    • How a minor dry cough amplifies caregiver burden in home health care

      Gerald Kuo | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...