What Doctors and Experts Tell Us About Designing a Paid Family & Medical Leave Program that Works for All

We are in the middle of a caregiving crisis: millions of people in the US can't afford to be with their families in the moments that matter most. Yet, the boldness of proposed solutions have failed to match the scale of that crisis. Now, a new report in partnership with Georgetown Law Center on Poverty and Inequality outlines a new approach, based on what doctors and scientists say that families need. Click to read the full report.

It will take action from all of us to get the paid family leave we need passed in the U.S. Take action now.



Evidence shows that families need up to six months of paid family leave. A policy should also be flexible for unique caregiving and medical needs.  


"I didn’t notice right away that I had postpartum depression. I only realized it when I spoke to the counselor that was assigned to my oldest son and she noticed that I didn’t want my kids to be near me. I would cry for no reason."

— Jimena De la Rosa, California. Six months of paid family leave would mean that Jimena and women like her have time to recover mentally and physically after birth.



Everyone pays in a little and gets support when they need it. This is already successful in California, the District of Columbia, Massachusetts, New Jersey, New York, Rhode Island, and Washington.


"The application process was a learning experience for everyone. My supervisors initially stated that as I was not a new mother, I may not qualify for F.M.L.A. leave. After some back and forth over email and consulting the new H.R. manual and federal regs, they allowed me to apply through our corporate office and humbly apologized, explaining that in all their time overseeing 100+ employees, they had never had a father try to take leave under the F.M.L.A. I was the first one in the office to do so."

— David Milender, Ohio. Federal paid family leave, accessible to everyone equally, would mean fathers like David can take leave when they need to.



Paid family leave must include parental, caregiving, and medical leave. It must also include all workers — including those working in the gig economy.


"Caregiving has affected my family for close to twenty years... Now my grandfather is 97, and we had to move him from a mobile home in Massachusetts to St. Louis, Missouri, so that he could live with my uncle. We will need to sell Grandpa's mobile home in order to pay for a nursing home, but nobody has the vacation time left to deal with the problem. We are all out of time, money, and energy."

— Adam Whittier, Washington. Paid family leave needs to include caregiving leave for families like Adam's, where family members are caring for sick and aging loved ones.



There must be job protections and anti-retaliation policies for all individuals who take leave. 

"Currently, I am part of the sandwich generation. Caring for young children and parents at the same time... We need paid family leave to be able to coordinate proper care for my mother-in-law and figure out a plan. I have had to take sick days to try and coordinate care, but some of my family members have feared losing their jobs for taking too much leave. for taking too much time off of work. It's a heavy burden on all of us and we need paid family leave to be able to provide the proper care my mother-in-law deserves and to spend time to figure out what our solution will be to this ongoing battle."

— Arissa Palmer, California. Job protection would mean that people like Arissa, in the sandwich generation and caring for children and older family members, do not fear losing their job or demotion when they take leave.


To reduce poverty and improve gender equity, policies must ensure full wage replacement for the lowest-paid workers.

"Our family needs my full paycheck to make ends meet. Six weeks after I gave birth to my son I had to start weaning him from breastfeeding so that he wouldn’t get too used to it when I had to go back to work. If I didn’t have to go back to work so quickly, I would still be breastfeeding."

— Mayra Lopez, California. Fully replacing income for the lowest-paid workers would mean that women like Mayra do not have to return to work before they are ready.


"It was rough thinking about going out on leave for me because I was a single mom... So for me it was trying to get all my bills down so that while I was out on leave I wasn’t struggling because I was just going to be collecting the disability, and I didn’t want to be struggling with the bills to have to take care of my household. The wage replacement was less than my salary. I think that’s why I was stressing during my pregnancy, I was trying to get everything paid off."

— Marcella McIntosh, California. Single parents like Marcella need their full salaries during paid family leave.