belief parental leave

Belief: The United States Should Establish a Federal Paid Family and Medical Leave Program

Topic: Economic Policy > Labor and Family Policy > Leave and Benefits

Topic IDs: Dewey: 331.25

Belief Positivity Towards Topic: +65%

Claim Magnitude: 65% (Moderately strong claim with strong cross-national evidence but genuine design complexity. The U.S. is the only OECD country without a national paid parental leave program, which makes the directional case for some program very strong. The contested questions are: how long (4 weeks vs. 12 weeks vs. 6 months), how generous (percentage of wage replaced), who pays (employer mandate vs. social insurance vs. general revenue), whether to include non-parental medical and caregiving leave, and whether the benefits observed in countries with established programs translate to a U.S. context with different labor market structure. The +65% reflects that the case for some federal paid leave is strong, while the optimal design is genuinely debatable.)

Each section builds a complete analysis from multiple angles. View the full technical documentation on GitHub. Created 2026-03-21: Full ISE template population, all 17 sections.

The United States occupies a unique position among wealthy democracies: it is the only OECD country, and one of only six countries in the entire world, that does not guarantee any paid parental leave at the national level. The Family and Medical Leave Act of 1993 (FMLA) provides 12 weeks of job-protected unpaid leave, but only for employees at companies with 50+ workers who have been employed for at least 12 months, which excludes approximately 44% of the private-sector workforce. For the workers who do qualify, unpaid leave is functionally inaccessible for those who cannot afford to forgo income for weeks or months. The result is that the U.S. has constructed a system where access to parental leave depends almost entirely on employer generosity and household wealth.

The cross-national evidence for paid parental leave is extensive: OECD countries with established programs show higher female labor force participation, lower infant mortality, higher breastfeeding rates, and better maternal mental health outcomes than the U.S. baseline. But the evidence is more nuanced than advocates typically present. Very long leave periods (beyond 6 months) are associated with wage penalties for women, particularly in career trajectories. The design of the program (wage replacement rate, duration, whether leave is use-it-or-lose-it for fathers) matters at least as much as its existence. And the countries with the strongest leave programs differ from the U.S. in labor market regulation, healthcare structure, and cultural norms in ways that make direct policy transplantation uncertain. The ISE's position: the case for some federal paid leave program is overwhelming; the case for any specific design is less clear, and the U.S. would be well-served by a modest initial program that can be adjusted based on domestic evidence rather than an ambitious program modeled on Scandinavian systems that assume a different institutional context.

📚 Definition of Terms

TermDefinition as Used in This Belief
Paid Family and Medical Leave (PFML)A government-mandated program that provides wage replacement to workers who take leave for specified family and medical reasons: birth or adoption of a child (parental leave), care for a seriously ill family member (caregiving leave), or the worker's own serious health condition (medical leave). This belief addresses all three categories. The leading federal proposals (FAMILY Act) would provide 12 weeks of partial wage replacement (66% of wages, capped) funded through a payroll tax of approximately 0.4% split between employer and employee. Critical distinction from the FMLA: FMLA provides job protection (the right to return to your job) but no wage replacement; PFML provides both. The two are complementary, not substitutes.
Family and Medical Leave Act (FMLA, 1993)Federal law providing 12 weeks of unpaid, job-protected leave per year for qualifying events (birth/adoption, family member illness, own illness). Applies only to employers with 50+ employees within 75 miles; employee must have worked 1,250 hours in the past 12 months. These eligibility requirements exclude approximately 44% of private-sector workers (Bureau of Labor Statistics). FMLA established the principle of job protection but without wage replacement, making it inaccessible for workers who cannot afford unpaid time off. The gap between FMLA's scope and workers' actual ability to use it is the central policy problem this belief addresses.
State Paid Leave ProgramsAs of 2025, 13 states and D.C. have enacted their own paid family and medical leave programs: California (2004), New Jersey (2009), Rhode Island (2014), New York (2018), Washington (2020), Massachusetts (2021), Connecticut (2022), Oregon (2023), Colorado (2024), Maryland (2026), Delaware (2026), Minnesota (2026), and Maine (2026). These state programs function as natural experiments: they provide evidence on take-up rates, labor market effects, employer responses, and costs that inform federal program design. California's 18-year track record is the most extensively studied. State programs vary in duration (4-12 weeks), wage replacement rate (50-90%), and funding mechanism (employee payroll tax, employer-employee split, or general revenue).
Wage Replacement RateThe percentage of a worker's regular wages that is replaced by the leave benefit during the leave period. A 100% replacement rate means full pay during leave; the FAMILY Act proposes 66% with a cap. The replacement rate is the most consequential design parameter: higher rates increase take-up (especially among low-income workers who cannot afford income reduction) but increase program cost and may reduce the incentive to return to work if combined with very long durations. The international evidence suggests that replacement rates between 60-80% of wages produce optimal take-up without significant return-to-work delay.
Use-It-or-Lose-It Paternity LeaveA leave design feature (pioneered by Sweden in 1995, adopted by most EU countries) that reserves a non-transferable portion of parental leave specifically for the non-birthing parent (typically the father). If the father does not use his reserved weeks, they are forfeited, not transferable to the mother. The purpose is to normalize male caregiving and reduce the gender gap in leave-taking that occurs when leave is pooled (mothers take nearly all of it). Sweden's "daddy quota" increased male leave-taking from 5% to over 40% of total parental leave days. This design feature is relevant to the U.S. debate because without it, paid leave programs primarily benefit mothers and can reinforce the gendered division of caregiving labor.

🔍 Argument Trees

Each reason is a belief with its own page. Scoring is recursive based on truth, linkage, and importance.

✅ Top Scoring Reasons to Agree

Argument Score

Linkage Score

Impact

The United States is the only OECD country without national paid parental leave, placing it in the company of Papua New Guinea, Suriname, and a handful of Pacific island nations. This is not a matter of U.S. exceptionalism reflecting superior policy design; it is an outlier status that correlates with worse outcomes on maternal mortality, infant health, breastfeeding rates, and female labor force participation relative to peer countries. The cross-national evidence from the 36 OECD countries that do have paid leave programs provides extensive observational data: countries with moderate paid leave (12-26 weeks) show 3-5% higher female labor force participation, 10-25% lower infant mortality, and measurably better maternal mental health outcomes than the U.S. baseline (Rossin-Slater 2017, Annual Review of Economics; Ruhm 2000, QJE).8884%Critical
California's paid family leave program (PFL, implemented 2004) provides an 18-year natural experiment demonstrating that paid leave increases leave-taking among low-income and minority workers, increases breastfeeding duration, improves infant health outcomes, and does not reduce employment or wages for women who take leave. Rossin-Slater, Ruhm & Waldfogel (2013, American Economic Journal: Economic Policy) found that California PFL doubled leave-taking among new mothers, with the largest increases among disadvantaged women (low-income, less educated, Hispanic, unmarried). Baum & Ruhm (2016, Journal of Policy Analysis and Management) found that California PFL increased leave-taking by fathers by 50%. The California evidence is the strongest domestic evidence for paid leave effects and addresses the concern that international evidence may not transfer to the U.S. context.8683%Critical
The current FMLA-only system creates a two-tier workforce in which access to paid parental leave depends on employer generosity, which correlates strongly with income, occupation, and industry. Bureau of Labor Statistics (2023) data shows that 27% of private-sector workers have access to employer-provided paid family leave, but this breaks down as 62% of workers in the top wage quartile vs. 8% of workers in the bottom quartile. The workers most likely to need paid leave (low-income workers who cannot afford unpaid time off) are the least likely to have it. A federal program addresses this access inequality directly by providing a universal floor that the market has demonstrably failed to provide.8481%High
Paid parental leave has documented positive effects on infant health, including reduced infant mortality, increased breastfeeding duration, higher immunization rates, and reduced emergency department visits in the first year of life. Ruhm (2000, QJE) found that 10 additional weeks of paid leave was associated with a 2.5-3.4% reduction in infant mortality across European countries. Stearns (2015, American Economic Review) found that California PFL increased breastfeeding duration by 18% and exclusive breastfeeding by 5 weeks. The health effects operate through parental presence during the critical bonding and development period: paid leave allows parents (particularly low-income parents) to provide direct care during the period when infant health is most vulnerable to caregiver instability.8278%High
Paid leave programs, properly designed, increase female labor force participation by reducing the binary choice between employment and caregiving. Without paid leave, the arrival of a child frequently forces mothers (disproportionately) out of the labor force entirely, because returning to work before physical recovery and infant care needs allow is the only alternative to losing income. Paid leave provides a third option: temporary, supported absence with guaranteed job return. International evidence and California's experience show that paid leave reduces workforce exit after childbirth: women who have access to paid leave are 20-50% more likely to return to the same employer after childbirth than women without it (Rossin-Slater et al. 2013; Byker 2016, American Economic Journal: Economic Policy).8076%High
Total Pro (Σ Argument × Linkage):338

❌ Top Scoring Reasons to Disagree

Argument Score

Linkage Score

Impact

Very long paid leave periods (beyond 6 months) are associated with significant wage penalties for women, particularly in high-skill career tracks. Lalive, Schlosser, Steinhauer & Zweimuller (2014, Review of Economic Studies) found that Austria's extension of paid parental leave from 1 to 2 years produced wage losses of 3-5% per year of leave for mothers. Blau & Kahn (2013, NBER) found that the U.S. actually has higher female labor force participation in high-skill occupations than countries with very generous leave policies (Sweden, Germany), possibly because very long leave periods reduce employer incentives to invest in women's career development. The leave-length sweet spot matters: moderate leave (12-16 weeks) appears beneficial, while very generous leave creates statistical discrimination against women of childbearing age.8279%High
The cost of a federal paid leave program, funded through a payroll tax, falls disproportionately on low-wage workers and small businesses. The FAMILY Act's proposed 0.4% payroll tax ($4 per week for a $50,000 earner) is modest in absolute terms but is a regressive tax that absorbs a larger share of low-income workers' take-home pay. Small businesses face administrative compliance costs and the operational burden of covering employees on leave, which large corporations absorb more easily. The CBO's estimates for federal paid leave proposals range from $300-500 billion over 10 years depending on design, and the incidence of the payroll tax falls on workers (through lower wages) rather than employers, as labor economics demonstrates for payroll taxes generally.7875%High
State-level paid leave programs already cover approximately 30% of the U.S. workforce and provide a laboratory for testing different designs. A federal program risks imposing a one-size-fits-all structure that overrides successful state programs or creates complex interactions between federal and state benefits. States with existing programs have tailored their duration, replacement rates, and funding mechanisms to their specific labor markets and fiscal situations. Federal preemption could reduce this beneficial policy diversity, and a federal program that is less generous than state programs (as is likely) would not benefit workers in states with better programs while imposing payroll tax costs on all workers.7572%Medium
The market is already moving toward employer-provided paid leave without government mandates. The share of employers offering paid parental leave has increased from 17% in 2015 to 27% in 2023 (BLS), with large employers and competitive industries leading the trend. Tech, finance, and professional services companies increasingly offer 12-20 weeks of paid leave as a talent recruitment tool. If the market trajectory continues, the employer-provided system may close the gap for higher-wage workers without government intervention, and the remaining gap could be addressed through a more targeted program for low-income workers who are excluded from employer benefits, rather than a universal federal program.7268%Medium
Total Con (Σ Argument × Linkage):226

Net Belief Score: +112 (338 Pro − 226 Con) — Well Supported; the cross-national and California natural-experiment evidence base for paid parental leave is among the strongest in labor economics, giving pro arguments a substantial margin over cost and market-trajectory objections.


Evidence Ledger

Evidence Type: T1=Peer-reviewed/Official, T2=Expert/Institutional, T3=Journalism/Surveys, T4=Opinion/Anecdote

Supporting EvidenceQualityTypeWeakening EvidenceQualityType
Rossin-Slater, Ruhm & Waldfogel, "The Effects of California's Paid Family Leave Program on Mothers' Leave-Taking and Subsequent Labor Market Outcomes" (2013, AEJ: EP)
Source: American Economic Journal: Economic Policy (T1).
Finding: California PFL approximately doubled leave-taking among new mothers. Largest effects among disadvantaged mothers: low-income, less educated, Hispanic, and unmarried women, who had the lowest pre-program leave-taking rates. No negative effect on employment or wages for women who took leave; women who used PFL were as likely or more likely to be employed 1 year after birth as comparable women before the program. This is the most important single domestic study for the federal paid leave debate.
88%T1 Lalive, Schlosser, Steinhauer & Zweimuller, "Parental Leave and Mothers' Careers: The Relative Importance of Job Protection and Cash Benefits" (2014, Review of Economic Studies)
Source: Review of Economic Studies (T1).
Finding: Austria's extension of paid parental leave from 1 year to 2 years resulted in 3-5% wage losses per year of additional leave for mothers, with larger effects for women in higher-paying occupations. Job protection (guaranteed return to same position) was more important than cash benefits for preserving employment continuity. The wage penalty was driven by human capital depreciation and employer statistical discrimination during extended absence. Key finding: job protection matters more than wage replacement, and very long leave is worse for women's careers than moderate leave.
86%T1
Ruhm, "Parental Leave and Child Health" (2000, Journal of Health Economics)
Source: Journal of Health Economics (T1).
Finding: Cross-national analysis of 16 European countries found that rights to 10 additional weeks of paid parental leave were associated with 2.5-3.4% reduction in infant mortality and 1-2% reduction in child mortality (ages 1-5). Effects were driven primarily by post-neonatal mortality (1-12 months), consistent with the mechanism of improved parental care during the infant's first year. The study established the foundational evidence that paid parental leave has measurable health effects and is widely cited in the literature.
85%T1 Blau & Kahn, "Female Labor Supply: Why Is the United States Falling Behind?" (2013, American Economic Review P&P / NBER)
Source: American Economic Review Papers and Proceedings / NBER (T1).
Finding: Found that the U.S. actually has higher female representation in high-skill, high-paying occupations than many European countries with generous parental leave. One explanation: very generous leave policies may encourage statistical discrimination against women of childbearing age and reduce employer investment in women's career development, particularly in high-skill sectors. The finding does not argue against paid leave; it argues against very long leave and supports the view that moderate-length leave (12-16 weeks) optimizes both access and career continuity.
83%T1
Stearns, "The Effects of Paid Maternity Leave: Evidence from Temporary Disability Insurance" (2015, American Economic Review)
Source: American Economic Review (T1).
Finding: Using California's pre-PFL Temporary Disability Insurance program (which provided approximately 6 weeks of wage replacement for pregnancy/birth recovery), found that access to this modest paid leave reduced infant mortality by approximately 6-7% among first-time mothers, driven by increased breastfeeding duration (18% increase) and more medical appointments in the infant's first months. The effects were concentrated among low-income and minority mothers who had the least access to informal paid leave. Even a short (6-week) paid leave program produced measurable health benefits.
84%T1 Olivetti & Petrongolo, "The Economic Consequences of Family Policies: Lessons from a Century of Legislation in High-Income Countries" (2017, JEP)
Source: Journal of Economic Perspectives (T1).
Finding: Comprehensive review of parental leave policy effects across OECD countries. Found that moderate leave (up to 6 months) is associated with increased female labor force participation, but leave exceeding 6 months has ambiguous or negative effects on women's employment and wages. The "inverted U" relationship: some leave is better than none, but more leave is not always better. The optimal leave duration depends on country-specific labor market conditions, making direct policy transplantation from Scandinavian systems to the U.S. uncertain.
85%T1
Baum & Ruhm, "The Effects of Paid Family Leave in California on Labor Market Outcomes" (2016, JPAM)
Source: Journal of Policy Analysis and Management (T1).
Finding: California PFL increased leave-taking among fathers by approximately 50% (from a low baseline) and among mothers by approximately 100%. Fathers with access to PFL were more involved in infant care at 9 months. The study found no negative effects on employment or wages for either mothers or fathers in the 1-3 years following leave. The father-specific findings are important because they demonstrate that paid leave can shift male caregiving behavior, not just provide income replacement for mothers.
83%T1 Bureau of Labor Statistics, "Employee Benefits Survey" (2023)
Source: Bureau of Labor Statistics (T1).
Finding: 27% of private-sector workers have access to employer-provided paid family leave (up from 17% in 2015). Access rates by wage quartile: top quartile 62%, third quartile 32%, second quartile 18%, bottom quartile 8%. The market trend is upward but heavily concentrated in high-wage occupations and large employers. The data simultaneously supports the access-inequality argument (bottom quartile rate of 8%) and the market-trajectory argument (rising trend from 17% to 27% in 8 years). Both sides can cite this data honestly.
90%T1

🏆 Best Objective Criteria

CriterionCurrent BaselineValidity %Reliability %Notes
Share of workers with access to paid family leave (by wage quartile)Overall: 27%; Top quartile: 62%; Bottom quartile: 8% (BLS 2023)88%92%The most direct measure of the access problem. Annual BLS tracking enables trend analysis. The gap between top and bottom quartile is the equity dimension.
Leave-taking rate after childbirth (share of new parents who take any leave, and average duration, by income level)Approximately 60% of new mothers take some leave; median duration 10 weeks; wide variation by income (high-income: 12+ weeks paid; low-income: 2-4 weeks often unpaid)82%78%Measures whether access translates to use; the gap between having a right to leave and actually taking it is the binding constraint for low-income families.
Female labor force participation rate (ages 25-44, by presence of children under 1)LFPR for mothers with children under 1: approximately 62%; comparable OECD average with paid leave: 70-80%78%85%Measures the workforce attachment effect. Confounded by other policy differences across countries, but within-country before/after analysis (California PFL) isolates the leave-specific effect.
Infant mortality rate (deaths per 1,000 live births)U.S.: 5.4 per 1,000 (2022); OECD average: 3.6 per 1,000; U.S. ranks 33rd of 38 OECD countries80%90%Paid leave is one of many factors (healthcare access, poverty, inequality) that contribute to the U.S. infant mortality disadvantage. The specific contribution of paid leave to infant mortality is estimated at 2.5-3.4% per 10 weeks of leave (Ruhm 2000).
Employer-reported cost and disruption from employee leave (survey-based)Limited U.S. data; California employer surveys show 87-91% of employers report "no problem" or "positive effect" from PFL (Appelbaum & Milkman 2011)72%70%The employer impact metric is important because opponents cite business disruption as a cost. Self-reported employer data has bias concerns, but the California employer experience is the most relevant domestic evidence.

🔬 Falsifiability Test

Claim ComponentEvidence That Would Confirm ItEvidence That Would Disconfirm It
A federal paid leave program would significantly increase leave-taking among low-income workers who currently cannot afford unpaid FMLA leaveStates that implement paid leave programs show large increases in leave-taking among bottom-quartile workers (as California did), and the federal program produces comparable take-up rates among previously underserved populations within 2-3 years of implementationDespite federal paid leave availability, take-up rates among low-income workers remain low because non-wage barriers (fear of job loss despite protection, cultural norms, employer pressure, lack of awareness) are the binding constraint rather than income replacement, and addressing income replacement alone does not close the access gap
Moderate paid leave (12-16 weeks) improves infant health and maternal outcomes without negative career effectsRigorous evaluation of U.S. state paid leave programs (California, New Jersey, Washington) consistently shows improved infant health metrics (mortality, breastfeeding, immunization) and no negative effects on maternal employment or wages in the 3 years following leave-takingLonger-running evaluation of state programs finds that paid leave is associated with statistical discrimination against women of childbearing age (reduced hiring rates, lower wage offers) that offsets the direct benefits of leave for women who take it, replicating the European finding that generous leave can harm women's careers in aggregate even while helping individual leave-takers
The market cannot solve the paid leave access gap without government interventionThe upward trend in employer-provided paid leave (17% to 27%, 2015-2023) plateaus or reverses as it reaches workers in low-wage, small-business, and gig-economy sectors where the business case for employer-provided leave is weakest, confirming that market forces cannot close the bottom-quartile access gapThe employer-provided leave trend continues to accelerate, reaching 50%+ of workers within a decade, and states without paid leave mandates show comparable access improvements to states with mandates, demonstrating that market forces can and do address the access gap without government programs

📊 Testable Predictions

Beliefs that make no testable predictions are not usefully evaluable. Each prediction below specifies what would confirm or disconfirm the belief within a defined timeframe and using a verifiable method.

Prediction Timeframe Verification Method
States implementing paid family leave programs in 2023-2026 (Oregon, Colorado, Maryland, Delaware, Minnesota, Maine) will show measurable increases in leave-taking among bottom-wage-quartile workers within 2 years of program launch, consistent with the California and New Jersey experience 2025-2028 State PFML program administrative data on claims by wage level; BLS National Compensation Survey leave access rates; comparison of leave-taking rates in implementing states vs. matched non-implementing states
The share of private-sector workers with employer-provided paid family leave will plateau below 40% by 2030 without federal legislation, as the market trend stalls when it reaches workers in industries (retail, food service, gig economy) where the business case for employer-provided leave is weakest 2025-2030 Bureau of Labor Statistics Employee Benefits Survey annual data; industry-level analysis of paid leave provision rates; comparison of access growth rates in top vs. bottom wage quartiles
States with paid leave programs that include use-it-or-lose-it paternity provisions (or individual entitlements for both parents) will show higher rates of father leave-taking than states with pooled parental leave that can be transferred entirely to mothers 2025-2030 State PFML administrative data on claims by gender; comparison of father leave-taking rates across states with different program designs (individual entitlement vs. pooled family leave)
The infant mortality rate in states with paid leave programs will decline faster than in states without them, after controlling for baseline infant mortality, income levels, Medicaid expansion status, and healthcare access, consistent with the Ruhm (2000) cross-national finding 2024-2032 CDC infant mortality data by state; difference-in-differences analysis comparing infant mortality trends in states implementing paid leave vs. matched comparison states; subgroup analysis by race and income

😱 Core Values Conflict

Supporters of Federal Paid LeaveOpponents / Skeptics of Federal Paid Leave
Advertised ValuesHealth and well-being of newborns and new parents; gender equity in the workplace by supporting both mothers' and fathers' caregiving roles; economic security for working families during vulnerable life transitions; recognition that the market has failed to provide adequate leave for the workers who most need it; alignment with international norms that every other wealthy democracy has adoptedBusiness flexibility and employer autonomy in designing compensation packages; free market solutions that allow employers to compete on benefits rather than conform to federal mandates; fiscal responsibility (avoiding new entitlement spending and payroll tax increases); federalism (state programs are already working and federal mandates override state-level experimentation); protecting small businesses from compliance burdens that large corporations absorb more easily
Actual Values in PracticePaid leave advocacy sometimes prioritizes duration and generosity over program design features (like use-it-or-lose-it paternity quotas) that would more effectively address gender equity. A 12-week program available to both parents but taken almost entirely by mothers (as occurs without paternity quotas) reinforces the gendered division of labor rather than disrupting it. Advocates who cite gender equity as a primary motivation but resist design features that would require fathers to take leave reveal that the primary goal is income replacement for mothers rather than structural gender equity.The "free market" and "employer flexibility" framing obscures the reality that employer-provided leave overwhelmingly benefits high-wage workers in competitive industries and is functionally unavailable to the 73% of private-sector workers whose employers do not offer it. Opponents who argue that the market is already solving the problem ignore that the market is solving it only for workers with the most bargaining power. The "small business" concern is genuine for very small employers but is also deployed by large employer lobbies (Chamber of Commerce, NFIB) that represent businesses fully capable of absorbing leave costs.

💵 Incentives Analysis

Interests & Motivations of SupportersInterests & Motivations of Opponents/Skeptics
Working parents, particularly mothers and low-wage workers: Direct beneficiaries of wage replacement during leave. The bottom-quartile access rate of 8% means that federal paid leave would disproportionately benefit the workers with the least current access and the least ability to absorb unpaid leaveSmall business owners and trade associations (NFIB, Chamber of Commerce): Concern about compliance costs, operational disruption from employee absences, and the competitive disadvantage of absorbing payroll tax increases that do not produce direct business benefits. Small businesses with thin margins and limited ability to hire temporary replacements face genuine operational challenges from mandated leave
Women's advocacy and labor organizations: Paid leave is a central labor and gender equity priority; these organizations have invested decades of advocacy in paid leave legislation and view it as foundational to workplace equalityFiscal conservatives and anti-entitlement advocates: A new federal entitlement program creates permanent spending commitments that grow with the economy; payroll tax funding creates a dedicated revenue stream that is politically difficult to reduce once established. The concern is less about the current cost than about the trajectory of expansion once the program exists
Large employers already offering paid leave: A federal mandate levels the competitive playing field: companies that already provide leave bear costs that competitors without leave policies do not. Federal standardization eliminates the competitive disadvantage of being a responsible employer. Some large tech and finance companies have publicly supported federal paid leave for this reasonStates with existing programs: State-level advocates may resist federal preemption if the federal program is less generous than their state program or if federal-state interaction creates administrative complexity. States have invested in building their own systems and may view federal mandates as undermining successful state-level policy innovation
Healthcare organizations and pediatric advocates (AAP, ACOG): Strong evidence for infant and maternal health benefits of paid leave; medical professional organizations are natural institutional supporters because the health evidence is within their expertise and missionGig economy platforms and non-traditional employers: Paid leave funded through payroll taxes is designed for traditional employment relationships; gig workers, independent contractors, and workers in the growing non-traditional economy may not benefit from a payroll-tax-funded system while still bearing its costs through higher prices for services

🤝 Common Ground and Compromise

Shared PremisesSynthesis / Compromise Positions
Both sides agree that the arrival of a child is a uniquely demanding life event and that some period of parental presence during the newborn period benefits the child, the parent, and societyModest initial federal program (4-6 weeks) with scheduled expansion: Start with a shorter duration than the FAMILY Act's 12 weeks, funded through a smaller payroll tax, and legislate a scheduled expansion to 12 weeks over 5-8 years contingent on program evaluation. This addresses the fiscal concern while establishing the principle of universal access, and the scheduled expansion creates a built-in review mechanism
Both sides acknowledge that the current FMLA-only system fails low-income workers who cannot afford unpaid leave, and that employer-provided leave access is highly unequal by incomeTargeted wage replacement for low-income workers: A program that provides higher wage replacement rates (80-90%) for workers below median income and lower rates (50%) for workers above median income would concentrate the fiscal cost on the workers with the strongest demonstrated need, reduce total program cost, and address the objection that universal programs provide benefits to high-income workers who already have employer-provided leave
Both sides recognize that small businesses face genuine operational challenges from employee absences that large employers can absorb more easilySmall business exemptions with alternative support: Exempt employers with fewer than 25 employees from the employer-share payroll tax, funded by slightly higher taxes on larger employers, and provide a federal temporary staffing subsidy for small businesses whose employees take leave. This addresses the legitimate small business concern without eliminating leave access for small-business employees
Both sides agree that state programs are already providing valuable evidence on paid leave design and implementationFederal floor with state flexibility: Establish a federal minimum (e.g., 4 weeks at 66% wage replacement) while allowing states with existing more generous programs to maintain them and credit their programs toward the federal requirement. Workers in states with programs receive the better of the state or federal benefit. This preserves state innovation while establishing universal minimum access

👤 ISE Conflict Resolution

Dispute TypeNature of the DisagreementEvidence That Would Move Both Sides
Empirical: Whether moderate paid leave (12 weeks) harms women's career outcomesSupporters cite California PFL evidence showing no negative career effects. Opponents cite European evidence (Austria, Germany) showing wage penalties from longer leave. The disagreement may reflect the difference between moderate leave (12 weeks) and long leave (1-2 years) rather than a genuine dispute about the same policy. Both sides would benefit from acknowledging the distinction.A meta-analysis or systematic review that explicitly examines leave duration as a moderator of career effects, distinguishing effects of 12-week programs from effects of 6+ month programs, would resolve whether the European long-leave findings apply to the moderate-length programs proposed for the U.S. If 12-week leave shows consistently positive or neutral career effects across countries, the long-leave objection is irrelevant to U.S. proposals. If negative effects appear even at 12 weeks, supporters should acknowledge the trade-off.
Empirical: Whether the market trend toward employer-provided leave will close the access gapSupporters argue the market has stalled at 27% and will not reach low-wage workers. Opponents argue the trend is accelerating and will eventually reach most workers. This is a testable empirical claim about the trajectory of voluntary employer provision.BLS data tracking the employer-provided leave rate for bottom-quartile workers over the next 5 years will resolve this. If the bottom-quartile rate remains below 15% by 2030 while the top quartile exceeds 70%, the market-solution argument fails. If the bottom-quartile rate doubles to 16%+ without mandates, the market argument gains credibility (though the absolute level would still leave most low-wage workers uncovered).
Values: Whether paid leave should be a universal right or a targeted safety netSupporters argue paid leave should be universal (available to all workers regardless of income), like Social Security. Opponents argue it should be targeted (available only to workers below a certain income who demonstrably cannot afford unpaid leave). This is partly a values disagreement about the role of universal vs. means-tested programs, but it has an empirical dimension: do universal programs generate broader political support and avoid the stigma that reduces take-up in means-tested programs?Comparative analysis of take-up rates in universal state programs (California, where all workers are eligible regardless of income) vs. hypothetical means-tested alternatives would clarify whether universality is necessary for broad take-up or whether targeted programs can achieve high take-up among eligible populations. Social Security's political durability compared to means-tested welfare programs provides a historical precedent for the universality argument, but the comparison is imperfect.
Definitional: What counts as "paid leave" and what duration is sufficientProposals range from 4 weeks (some Republican proposals) to 12 weeks (FAMILY Act) to 6 months (aligned with WHO breastfeeding recommendations) to 1 year (Scandinavian model). The policy debate often conflates these very different programs under the same "paid leave" label. A 4-week program addresses postpartum physical recovery; a 12-week program addresses infant bonding and breastfeeding; a 6-month program addresses developmental care; a 1-year program approaches European-style extended leave. These serve different purposes and have different cost-benefit profiles.A consensus framework that specifies the evidence-based rationale for each duration tier (physical recovery: 6-8 weeks; breastfeeding/bonding: 12-16 weeks; developmental care: 6 months; extended parenting: 1 year) and the evidence for diminishing returns at each tier would allow the debate to focus on the appropriate tier rather than arguing about "paid leave" as a monolith. The Olivetti & Petrongolo (2017) inverted-U finding provides a starting framework.

📋 Foundational Assumptions

Required to Accept the BeliefRequired to Reject the Belief
Access to paid time off during major family and medical events is a basic labor standard that the market demonstrably fails to provide for low-income and small-business workers, and the failure imposes costs on children, families, and society that justify government interventionCompensation packages, including leave benefits, should be determined by market forces and employer-employee negotiation; government mandates distort the labor market and impose costs that exceed the benefits they provide, particularly for small businesses and workers who would prefer higher wages to mandatory leave benefits
The cross-national evidence from 36 OECD countries with paid leave programs is applicable to the U.S., and the California/New Jersey domestic evidence confirms that the international findings translate to the American contextThe U.S. labor market is sufficiently different from European labor markets (higher mobility, less regulation, different healthcare structure, cultural differences in family roles) that international evidence is not reliably transferable, and the California experience may reflect state-specific conditions that do not generalize nationally
A payroll-tax-funded social insurance program is the appropriate mechanism for paid leave because it creates a universal, non-stigmatized benefit with broad political support, analogous to Social Security and unemployment insuranceA payroll tax is a regressive funding mechanism that falls on all workers (including those who will never use the benefit) and all employers (including those who already provide leave); targeted alternatives (expanded tax credits, means-tested direct assistance) can address the access gap more efficiently with less fiscal cost and less market distortion
Moderate paid leave (12-16 weeks) improves both infant/maternal health and women's labor force attachment, and the evidence consistently shows positive effects at this duration with career concerns emerging only at much longer durations (6+ months)Any mandated leave period, even moderate, may produce statistical discrimination against women of childbearing age as employers factor in the expected cost of leave when making hiring and promotion decisions, and this effect is difficult to detect but may offset the direct benefits of leave for the women who use it

💸 Cost-Benefit Analysis

ComponentBenefitsCosts & RisksLikelihoodNet Expected Value
FAMILY Act model (12 weeks, 66% wage replacement, 0.4% payroll tax)Universal access for all workers; addresses bottom-quartile access gap; consistent with evidence on optimal leave duration; payroll tax provides dedicated funding stream; social insurance model has precedent (SSA, UI)$300-500B over 10 years (CBO estimates vary); 0.4% payroll tax reduces take-home pay by $4/week for median earner; small business compliance costs; potential displacement of more generous employer programs in some casesLow-medium political feasibility; multiple Senate attempts have stalled; requires 60 votes or reconciliationNet strongly positive — the most comprehensive proposal with the strongest evidence base; the political obstacles are real but the policy design is well-supported
Modest starter program (4-6 weeks, 66% replacement, 0.2% payroll tax)Lower fiscal cost; addresses the physical recovery period that is most medically critical; lower payroll tax burden; more politically achievable; creates program infrastructure that can be expanded based on domestic evidenceDoes not address the full bonding/breastfeeding period (12-16 weeks per WHO and AAP); may be seen as inadequate by advocates; creates political dynamic where expansion is difficult after initial passageHigher political feasibility than FAMILY Act; some Republican proposals have included 4-6 week frameworksNet positive — the compromise that is most likely to become law; addresses the most acute need (recovery period) while establishing the program and infrastructure for expansion
Tax credit approach (expanded DCFSA/credit for leave-taking)Lowest fiscal cost; operates through existing tax code infrastructure; does not create new entitlement program; avoids payroll tax objections; preserves employer flexibilityTax credits are not refundable or useful for workers with no tax liability (the poorest workers who most need leave); does not address the structural access gap; leaves the leave decision to employer-employee negotiation; does not provide the guaranteed income replacement that enables low-income workers to actually take leaveHigh political feasibility; both parties have proposed tax-based leave incentivesNet weakly positive — politically achievable but fails to address the core access problem for the workers most in need; a complement to but not substitute for direct wage replacement
Federal mandate with state flexibility (federal floor + state programs)Establishes universal minimum while preserving state innovation; avoids disrupting states with existing more generous programs; federal-state partnership model has precedent (Medicaid, unemployment insurance); allows tailoring to state labor market conditionsComplex federal-state administrative interaction; potential for coverage gaps in transition period; states without existing programs face startup costs; may create incentive for states to meet the federal minimum rather than exceed itMedium — the most politically realistic comprehensive approach; unemployment insurance provides a precedent for the federal-state structureNet positive — the design most consistent with American federalism and most likely to gain bipartisan support from both states-rights conservatives and universal-access progressives

🚫 Primary Obstacles to Resolution

These are the barriers that prevent each side from engaging honestly with the strongest version of the opposing argument. They are not the same as the arguments themselves.

Obstacles for Supporters Obstacles for Opponents
Citing Scandinavian outcomes while proposing non-Scandinavian programs: Advocates frequently cite outcomes from countries with 6-12 months of paid leave at 80%+ wage replacement while proposing 12-week programs at 66% replacement. The outcomes associated with Scandinavian-length programs may not be achievable with the much shorter, less generous programs that are politically feasible in the U.S. The honest case for a 12-week program should cite California's 6-week evidence and the 12-week international evidence, not the Scandinavian evidence that applies to a qualitatively different policy. Citing the market trend while ignoring who it excludes: The increase from 17% to 27% in employer-provided leave is real, but it is concentrated among high-wage workers in competitive industries. Opponents who cite the market trend as evidence that government intervention is unnecessary are describing the solution for the top quartile while ignoring the 8% access rate in the bottom quartile. The workers who most need paid leave are precisely the workers the market is not reaching and has no incentive to reach, because they have the least bargaining power.
Understating the leave-duration trade-off: The evidence that very long leave harms women's career outcomes (Lalive et al. 2014, Blau & Kahn 2013) is real and should inform program design rather than being dismissed as irrelevant to U.S. proposals. Advocates who push for maximum duration without engaging with the inverted-U evidence are optimizing for generosity rather than for the design that best balances infant health, maternal career continuity, and gender equity. The honest engagement with this evidence would strengthen the case for moderate leave (12-16 weeks) while acknowledging that longer is not always better. Treating any new entitlement as the first step to European-style labor regulation: The slippery-slope objection (that 12 weeks of paid leave leads inevitably to European-style labor market rigidity, mandated vacation time, and employer-unfriendly regulation) conflates paid leave with a much broader regulatory package that no serious U.S. proposal includes. The 13 U.S. states with paid leave programs have not become European welfare states. Treating a specific, evidence-based proposal as a proxy for an entirely different regulatory philosophy prevents engagement with the actual proposal on its own terms.
Conflating parental leave with all medical and caregiving leave in cost estimates: The FAMILY Act covers parental leave, medical leave, and caregiving leave, but the strongest evidence base is for parental leave specifically. Including medical and caregiving leave in the same program increases the fiscal cost substantially while relying on a weaker evidence base for those categories. Advocates who bundle all categories together to achieve a comprehensive program make the fiscal case harder than necessary, because the parental leave evidence alone is strong enough to justify a stand-alone program. Ignoring the U.S. outlier status among peer democracies: The U.S. stands alone among OECD countries in having no national paid parental leave. Opponents who argue that the U.S. system is simply different (more flexible, more employer-driven) without engaging with the fact that this "difference" correlates with worse infant mortality, lower female labor force participation, and higher family economic instability during childbirth are using American exceptionalism as a substitute for evidence-based argument.


🧠 Biases

Biases Affecting SupportersBiases Affecting Opponents
Availability of personal childbirth narratives: Stories of women returning to work days after giving birth, or of families choosing between rent and recovery time, are vivid and emotionally powerful. These stories are real and common for low-income families. But they anchor the debate to the most dramatic cases rather than the typical experience, and they create urgency for any program rather than the right program. The emotional power of the access narrative can overwhelm careful program design considerations.Survivorship bias from successful entrepreneurs: Business leaders and policymakers who succeeded without paid leave (because they were wealthy enough to afford unpaid time off, or had family support, or simply powered through) may underestimate the constraint that lack of paid leave imposes on workers without those advantages. The "I managed without it" inference ignores the workers who left the workforce, reduced their hours, or experienced worse health outcomes because they did not have the option of paid leave.
Cross-national cherry-picking: Advocates cite outcomes from the best-performing leave programs (Nordic countries) while ignoring complications from less successful implementations (Quebec's rapid childcare expansion, some Southern European programs with very long leave that reduced women's employment). The international evidence is not uniformly positive; it supports moderate, well-designed programs, not all programs.Status quo bias and loss aversion: The current system (employer-provided leave for some, nothing for the rest) is treated as the neutral baseline, with any government program framed as an intervention that disrupts the natural order. But the current system is itself a policy choice: the U.S. actively chose not to include paid leave in labor law while other countries actively chose to include it. There is no neutral baseline; both systems are constructed.
Coalition bundling: The paid leave coalition includes maternal health advocates, labor unions, feminist organizations, and family-values groups. These stakeholders have overlapping but distinct interests. Labor unions prioritize universal mandatory programs; feminist organizations prioritize gender-equitable design; family-values groups may prioritize maternal leave without paternity provisions. The coalition's breadth creates pressure for maximally comprehensive programs rather than the most evidence-supported design.Anchoring to current payroll tax burden: Opposition to a 0.4% payroll tax increase anchors to the perceived burden of existing payroll taxes (15.3% combined for Social Security and Medicare) rather than evaluating the marginal cost in absolute terms ($4/week for a median earner). The anchoring effect makes a modest cost increase feel more significant than it is in absolute terms, particularly relative to the benefit it provides.
Framing paid leave as exclusively a women's issue: While women are disproportionately affected by the lack of paid leave, framing paid leave exclusively as a women's or maternal issue reinforces the assumption that caregiving is women's responsibility and reduces political support among men who do not see themselves as direct beneficiaries. Programs that include paternity provisions and medical leave for all workers broaden both the benefit and the political coalition, but the maternal framing persists in advocacy.False dichotomy between market and government solutions: The debate is often framed as market-provided leave vs. government-mandated leave, when the most effective systems (and the leading federal proposals) use a social insurance model where the government administers and funds the benefit while employers retain the employment relationship. Treating these as binary alternatives prevents engagement with hybrid designs that use government funding to solve the access gap while minimizing employer disruption.

🎬 Media Resources

Supporting the BeliefOpposing or Complicating the Belief
Books: Unfinished Business by Anne-Marie Slaughter (2015) — frames paid leave as essential infrastructure for gender equity and work-life integration; All the Rage by Darcy Lockman (2019) — documents the gendered division of domestic labor that paid leave policy can influence; The Price of Motherhood by Ann Crittenden (2001) — economic analysis of the costs women bear from inadequate family policyBooks: Lean In by Sheryl Sandberg (2013) — argues for women's individual agency within existing structures, implicitly skeptical of mandated solutions; The Two-Income Trap by Elizabeth Warren & Amelia Tyagi (2003) — analyzes family economic pressures in ways that complicate simple paid-leave framing; AEI/Heritage policy papers on market-based alternatives to mandated leave
Academic: Rossin-Slater et al. (2013, AEJ: EP) — California PFL effects; Ruhm (2000, JHE) — cross-national infant health effects; Stearns (2015, AER) — California TDI infant mortality effects; Baum & Ruhm (2016, JPAM) — California PFL effects on fathers; Olivetti & Petrongolo (2017, JEP) — comprehensive cross-national reviewAcademic: Lalive et al. (2014, REStud) — Austrian long-leave wage penalty; Blau & Kahn (2013, AER P&P) — U.S. high-skill female employment advantage; Schonberg & Ludsteck (2014, JPE) — German leave extension effects; CBO scoring of FAMILY Act and alternative proposals
Policy/Government: National Partnership for Women & Families program design research; National Academy of Social Insurance paid leave analyses; DOL Women's Bureau paid leave resources; state PFML program administrative data and evaluation reports (California, New Jersey, Washington)Policy/Government: CBO cost estimates for federal paid leave proposals; Small Business Administration impact assessments; AEI-Brookings joint paid leave proposal (bipartisan); National Federation of Independent Business survey data on employer concerns
Journalism/Media: New York Times "The Preschool-to-Prison Pipeline" coverage; Vox "The Gap" paid leave series; FiveThirtyEight state paid leave analysis; Planet Money episodes on California PFL; ProPublica maternal health reportingJournalism/Media: Wall Street Journal editorial board on mandated benefits; Bloomberg small business impact reporting; Reason Magazine on market-based leave alternatives; The Economist paid leave cross-national comparison

Legal Framework

Laws and Frameworks Supporting This Belief Laws and Constraints Complicating It
Family and Medical Leave Act of 1993 (29 U.S.C. §2601 et seq.): Establishes the legal principle that job-protected leave for family and medical events is a legitimate labor standard. FMLA's 12-week, unpaid framework provides the structural template for a paid leave program: the same qualifying events, the same duration, and the same job protection, with the addition of wage replacement. A federal paid leave program would most naturally build on FMLA's existing legal and administrative infrastructure. Commerce Clause limitations and employer scope: FMLA's 50-employee threshold reflects the constitutional and political constraint that federal labor mandates on very small employers face both legal challenges and political opposition. A federal paid leave program funded through social insurance (payroll tax) rather than employer mandate avoids this constraint because the obligation falls on the insurance system rather than the employer, but the administrative interaction with small employers for claims processing remains a design challenge.
Social Security Act framework (42 U.S.C. §301 et seq.): The Social Security system provides the legal and administrative precedent for universal payroll-tax-funded social insurance. A federal paid leave program modeled as a social insurance fund (similar to SSA or unemployment insurance) operates within established constitutional authority under the taxing and spending power. The FAMILY Act explicitly models its funding mechanism on this precedent. Byrd Rule and PAYGO — legislative path constraints: Like universal childcare, a new paid leave entitlement funded through dedicated revenue (payroll tax) would need to navigate Senate reconciliation rules if pursued through budget reconciliation rather than regular order. The self-funding payroll tax mechanism may satisfy PAYGO requirements (revenue offsets spending), but the Byrd Rule's prohibition on "extraneous" provisions in reconciliation bills could complicate inclusion of non-budgetary program design features.
Pregnancy Discrimination Act of 1978 (42 U.S.C. §2000e(k)): Prohibits employment discrimination on the basis of pregnancy, childbirth, or related medical conditions. Establishes that pregnancy-related leave must be treated at least as favorably as leave for other temporary disabilities. The PDA creates the legal foundation for treating parental leave as a labor right rather than a benefit, and a federal paid leave program extends this principle from non-discrimination to affirmative provision. Federal-state preemption complexity: Thirteen states already have paid leave programs with different durations, replacement rates, and funding mechanisms. A federal program must address preemption: does the federal program replace state programs, supplement them, or create a floor that states can exceed? The unemployment insurance model (federal-state partnership with minimum federal standards) provides a precedent, but the administrative interaction between a federal paid leave fund and 13 existing state funds requires careful legal design to avoid coverage gaps or double-taxation.
Americans with Disabilities Act (42 U.S.C. §12101 et seq.) and Rehabilitation Act: Establish that reasonable accommodation for medical conditions, including leave, is a legal requirement in covered employment. The ADA framework supports the inclusion of medical leave (the worker's own serious health condition) in a paid leave program by establishing that medical leave is already a recognized labor accommodation; paid leave adds wage replacement to an existing accommodation right. ERISA preemption concerns (29 U.S.C. §1144): The Employee Retirement Income Security Act preempts state laws that "relate to" employee benefit plans, creating complex interactions between federal paid leave programs and employer-provided leave benefits. Employers with self-insured benefit plans may argue that a federal paid leave mandate conflicts with ERISA's preemption of state-level benefit regulation. The FAMILY Act addresses this by structuring paid leave as a social insurance program rather than an employer mandate, but the ERISA interaction requires specific statutory language to prevent litigation.


🔗 General to Specific Belief Mapping

RelationshipBeliefConnection
Upstream (general)Government institutions should be designed to protect individual rights and promote general welfarePaid family leave as a general welfare provision: the economic insecurity caused by childbirth and medical events imposes costs on families and society that government social insurance is designed to pool and manage
Upstream (general)U.S. income and wealth inequality has increased dramatically since 1980 and requires active policy interventionThe leave access gap (62% top quartile vs. 8% bottom quartile) is a concrete mechanism through which income inequality compounds: low-income workers face the double burden of lower wages and less employer-provided leave, creating economic vulnerability during the most demanding family events
Sibling (same level)The United States should establish a universal affordable childcare systemParental leave and childcare are sequential stages of the same policy problem: parental leave covers the infant's first months; childcare begins when leave ends. The two policies are complementary, not competing: parental leave without childcare forces a cliff at week 12; childcare without parental leave forces premature separation. Both address the early childhood period from different time horizons
Sibling (same level)The United States should raise the federal minimum wage substantiallyBoth address the labor market position of low-wage workers: minimum wage sets the floor for compensation during work; paid leave sets the floor for compensation during necessary absence from work. Workers in minimum-wage jobs are the least likely to have employer-provided paid leave, making both policies most impactful for the same population
Sibling (same level)The United States should adopt a universal healthcare systemThe medical leave component of PFML overlaps with healthcare access: workers without adequate health insurance face both the medical cost of a serious health condition and the income loss from inability to work. Universal healthcare addresses the medical cost; paid medical leave addresses the income loss. Both are necessary for full economic security during illness
Downstream (specific)Congress should pass the FAMILY Act establishing 12 weeks of paid family and medical leave funded through a 0.4% payroll taxThe most specific policy action implied by this belief: the FAMILY Act is the leading legislative vehicle for federal paid leave, with the most detailed CBO scoring and the broadest congressional support among paid leave proposals
Sibling (same level)The United States Should Establish Universal Pre-K Education for 3 and 4 Year OldsParental leave and universal pre-K are sequential stages of the same early childhood policy problem: paid leave covers birth through approximately 12 weeks; childcare covers infancy through roughly age 3; universal pre-K covers ages 3–5. A coherent early childhood policy addresses all three stages. The economic case for each stage overlaps — Heckman's skill-complementarity research documents that returns to early investment are highest precisely in the years covered by leave and pre-K. Parental leave without universal pre-K creates a policy cliff at the end of leave; universal pre-K without parental leave leaves the critical first weeks unaddressed.

💡 Similar Beliefs (Magnitude Spectrum)

PositivityMagnitudeBelief
+100%90%The U.S. should establish a Scandinavian-model parental leave system: 12-18 months of paid leave at 80-90% wage replacement, with use-it-or-lose-it paternity quotas, funded through progressive payroll and income taxes, as a universal right of citizenship
+80%75%Congress should pass the FAMILY Act providing 12 weeks of paid family and medical leave at 66% wage replacement, funded through a 0.4% payroll tax, available to all workers regardless of employer size, with use-it-or-lose-it provisions for both parents
+65%65%[THIS BELIEF] The U.S. should establish a federal paid family and medical leave program, starting with a moderate design (12 weeks, 66% replacement) that builds on state program evidence, addresses the bottom-quartile access gap the market cannot close, and includes program design features (paternity provisions, small business support) informed by international evidence on leave-duration trade-offs
+40%50%A modest federal paid leave program (4-6 weeks for parental leave only) funded through a small payroll tax or general revenue, designed as a floor that state programs can exceed, represents the achievable bipartisan compromise that addresses the most acute need without the fiscal and design risks of a comprehensive program
-10%35%Paid leave access should be expanded through tax incentives for employer-provided leave, expanded DCFSA contribution limits, and targeted assistance for low-income workers, without creating a new federal entitlement program or payroll tax
-50%60%Leave benefits are a matter of private employment negotiation, not government mandate; the market trend toward employer-provided leave is working; federal mandates impose unjustified costs on businesses and workers, distort labor markets, and create dependency on government benefits that should be earned through employment

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