Also, I'm amazed at the very idea of having a specific number of available sick days which I understand is the standard in the US. How on Earth is that something that is expected to be planned and accounted for by the employee? How can one "run out of" sick days? How do I see stories about US workers "donating" their unused sick leave days to a colleague with cancer or other long illness?
I'm too lazy to look up the details, but here in Spain the rules are something like no pay for the first 1–3 days of continued sick leave (if not a work accident, in which case you are paid from day 1), followed by a partial payment per day off (40% of base rate?) with gradual increase as the sick leave is prolonged (15 days maybe?) with the payment being gradually reimbursed to the employer by Social Security, I think up to 75% of the employee's base rate. Businesses may of course choose to top it up from their own purse.
Other than the business legitimately suspecting abuse of sick leave, the only special case breaks into effect when sick leave exceeds 365 continuous days, at which point long-term disability may be considered.
I cannot say how dystopic the idea of having limited sick days sounds to me. I am someone who very rarely gets sick, so I very rarely need to call in sick, but I simply know I am protected if I need to as a basic right. And some years ago I did have to make use of it unexpectedly (of course!).
Through no fault of my own I was involved in a traffic accident over a weekend which resulted in, among other minor injuries, a severe traumatic brain injury which could have killed me or left me disabled if it weren't for the emergency brain surgery I received. I spent a week in the ICU, another week in the main hospital wing, months of rehabilitation, and around 10 months of "sick leave" until I was able to work again. I was decently paid this whole period and at no point did I have to worry about losing my job (nor about "medical bills" of course!), being able to fully focus on myself and making a full recovery. I can only imagine how awful it could have been had I not had these basic protective rights as a worker and a citizen.