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Paid sick leave by country: what four weeks off sick pays at $150,000

By Skyler Bissell · Updated October 2026 · computed from cityparity's engine data

A first-year employee on $150,000 in the median US metro who is off sick for four weeks gets about $2,900 of statutory sick pay, about 25% of the wages those weeks would have earned. In 11 of the 28 US metros we cover the legal floor is nothing. The table runs the same four weeks (28 days, starting on a Monday) through the sick-pay law of 71 countries: unpaid waiting days first, then each phase at its own rate, with benefit caps applied.

52 countries pay more than the US median for the same illness and 10 pay full wages throughout. The figures are the legal floor for someone past any qualifying period, and a US sick-time bank is assumed to hold its full year's balance, which flatters the US for anyone in their first months; many employers pay more than the law.

#CountryQualifying serviceUnpaid waiting daysFour weeks off pays (USD)Share of payvs US median
1ArgentinaNone0$11,507100%+$8,630
2AustriaNone0$11,507100%+$8,630
3BelgiumNone0$11,507100%+$8,630
4Germany1 month0$11,507100%+$8,630
5IndonesiaNone0$11,507100%+$8,630
6MalaysiaNone0$11,507100%+$8,630
7PeruNone0$11,507100%+$8,630
8Saudi ArabiaNone0$11,507100%+$8,630
9South AfricaNone0$11,507100%+$8,630
10ThailandNone0$11,507100%+$8,630
11IsraelNone1$10,68593%+$7,808
12KuwaitNone0$9,86386%+$6,986
13ArmeniaNone0$9,20580%+$6,329
14SloveniaNone0$9,20580%+$6,329
15EcuadorNone0$8,93878%+$6,062
16UAE6 months0$8,83677%+$5,959
17Qatar3 months0$8,63075%+$5,753
18Switzerland3 months0$8,63075%+$5,753
19Hong KongNone0$7,89069%+$5,014
20ColombiaNone0$7,67267%+$4,795
21Serbia3 months0$7,47965%+$4,603
22Greece1 month0$7,36464%+$4,487
23AzerbaijanNone0$6,90460%+$4,027
24CzechiaNone0$6,90460%+$4,027
25NigeriaNone0$6,90460%+$4,027
26UzbekistanNone0$6,90460%+$4,027
27JapanNone3$6,85060%+$3,973
28Costa RicaNone0$6,78159%+$3,904
29BrazilNone0$6,76859%+$3,891
30Norway1 month0$6,68658%+$3,809
31PakistanNone0$6,57557%+$3,699
32Singapore3 months0$6,16454%+$3,288
33HungaryNone0$6,15754%+$3,280
34Romania6 months1$6,10353%+$3,226
35SwedenNone0$5,92151%+$3,044
36AustraliaNone0$5,75350%+$2,877
37BangladeshNone0$5,75350%+$2,877
38New Zealand6 months0$5,75350%+$2,877
39TaiwanNone0$5,75350%+$2,877
40ItalyNone3$5,68549%+$2,808
41Portugal6 months3$5,65149%+$2,774
42Lithuania3 months0$5,38947%+$2,512
43IndiaNone0$4,93243%+$2,055
44NetherlandsNone0$4,87042%+$1,993
45Canada3 months0$4,42838%+$1,551
46Kenya2 months0$4,31537%+$1,438
47FinlandNone0$4,12036%+$1,244
48UruguayNone3$3,90734%+$1,030
49Bulgaria6 months0$3,22828%+$351
50ChileNone3$3,05927%+$182
51Denmark2 months0$3,05427%+$177
52Spain6 months3$3,04926%+$173
53USA (Median of 28 metros)Varies by stateVaries$2,87725%Baseline
54Sri Lanka2 months0$2,46621%-$411
55Mexico1 month3$2,36421%-$513
56Estonia1 month3$1,90217%-$974
57VietnamNone0$1,80216%-$1,075
58Cyprus6 months3$1,41612%-$1,461
59France1 month3$1,20610%-$1,671
60Turkey3 months2$7707%-$2,107
61United KingdomNone0$6596%-$2,218
62Ireland3 months0$6175%-$2,259
63Morocco2 months3$3393%-$2,537
64ChinaNone0$3023%-$2,575
65KazakhstanNone0$2212%-$2,656
66EgyptNone0$2122%-$2,665
67Philippines6 months0$1331%-$2,744
68GeorgiaNone0$00%-$2,877
69GhanaNone0$00%-$2,877
70South KoreaNone0$00%-$2,877
Poland1 month0Not pricedNot pricedn/a

One earner on $150,000 converted at 2026-10-21 rates, off sick for 28 calendar days from a Monday, in the first year of service and past any qualifying period. Each country uses its representative city, which matters only where a state or province sets the rules; the US row is the median of our 28 metros, from $0 to $8,988 in San Francisco. Share of pay is sick pay over the gross those 28 days would have earned. Poland pays sick pay on wages after social contributions, which this walk does not price.

Full pay, a capped benefit, or nothing

The table splits three ways. 10 countries pay full wages for all four weeks, Germany among them under its six weeks of continued pay from the employer. Most of the rest pay a percentage of wages, a capped benefit or a flat sum, and at $150,000 the cap or the flat sum is usually what decides the figure: the UK's Statutory Sick Pay is a flat weekly amount, which comes to 5.7% of this worker's pay. Georgia, Ghana and South Korea have no statutory sick pay at all for this worker.

The US sits apart because its floor is local. 11 of our metros have none, Chicago sits at the median with $2,877, and San Francisco pays the most at $8,988, because a state insurance program pays on top of the local sick-time bank. Employers often go further than the floor: the Bureau of Labor Statistics' March 2026 benefits survey found that 81% of private-industry workers had access to paid sick leave, a count that includes plans offered on top of the law and pooled paid time off. What a longer illness pays, and how the US state programs work, is in sick leave in Europe vs the US.

How each country pays sick leave

Each line is the statutory scheme our figures come from, in order: waiting days, then each phase with its rate, payer, length and cap.

Sick pay is one line of the hidden paycheck, the part of a job's value that never shows on the offer letter. Paid leave around a birth is ranked in parental leave by country and what a family pays for health cover in healthcare costs by country. To price the whole move, run one earner on $150,000 from Detroit to Berlin in the calculator.

FAQ: paid sick leave by country

Which countries have the best paid sick leave?

On a four-week illness, 10 of the 71 countries we cover pay a first-year employee on $150,000 full wages for the whole spell by law: Argentina, Austria, Belgium, Germany, Indonesia, Malaysia, Peru, Saudi Arabia, South Africa and Thailand. Over a longer illness the order changes: 6 of those 10 step down to a lower rate, a cap or a flat sum once their full-pay weeks run out.

Does the US have paid sick leave?

There is no federal requirement. State and city laws fill some of the gap: 11 of the 28 US metros we cover have no statutory paid sick leave, and the rest follow state or city law, usually a bank that accrues one hour for every 30 or 40 hours worked. In New York City, for example, an employer with 100 or more staff must allow 56 paid hours a year.

Is sick pay full pay in Europe?

In some countries. 3 of the 25 European countries we can price pay full wages for four weeks off sick (Austria, Belgium and Germany). 13 pay less than half, Ireland at 5%, the United Kingdom at 6%, France at 10% and Cyprus at 12% among them, usually because a flat or capped benefit replaces the wage.

What is a waiting day for sick pay?

A waiting day is an unpaid first day of sickness before statutory sick pay starts. 14 of the 70 countries outside the US have at least one; the longest in our data is 3 days (Chile, Cyprus, Estonia, France, Italy, Japan, Mexico, Morocco, Portugal, Spain and Uruguay). Sweden dropped its waiting day in 2019 and takes a one-time deduction of 20% of a week's sick pay instead.

Figures come from cityparity's per-city engine, computed from official sources with a per-value audit trail; currency conversions use rates from 2026-10-21 and drift daily. Treat any single number as a strong estimate and run your own. See the methodology.