Marty Flynn knows Orlando’s restaurants. The son of a bartender is 29 and has already worked at six. Chili’s. Bahama Breeze. Crave. Johnnie’s Hideaway. The Meatball Stoppe.

Now he’s a sushi chef.

“Every restaurant I’ve worked at, it’s been the same: No sick leave,” Flynn said, just like it was with his mom, the bartender. “I remember being home alone as a kid because I was sick and she couldn’t take time off. You just have to work through it unless you’re dying.”

As the coronavirus spreads across the United States, major U.S. companies and business groups have put out hand sanitizer and discussed precautions they are taking to keep sick workers away from customers. The Centers for Disease Control and Prevention has advised employers to “ensure that your sick leave policies are flexible and consistent with public health guidance.”

Although most Americans say businesses should offer sick pay, at least a dozen states, including Florida and much of the Southeast, have passed legislation since 2011 to block efforts to require medical leave. Even in liberal-leaning states that have passed sick pay requirements, some companies sidestep the requirement by counting their workers not as employees, but as contractors.

In Orlando, for example, voters overwhelmingly approved a measure that would have guaranteed that Flynn and thousands of other service workers in the tourist magnet would get sick pay. But in 2013, according to Florida news reports, business lobbyists for Walt Disney World, Darden Restaurants and the Florida Chamber of Commerce pushed state officials to overrule the Orlando mandate.

Stopping Orlando’s sick pay requirement, then-Gov. Rick Scott, a Republican, said at the time, was “essential to ensuring a business-friendly environment.”

Organizers of the measure said they were stunned.

“I never thought they would put up such a big fight over something so small,” said Stephanie Porta, one of the leaders of the ballot initiative. “They were so dug in on ‘You can’t tell businesses what to do.’ But if workers had more protections right now, the coronavirus outbreak would look much different.”

Even with confirmed U.S. cases of the novel coronavirus rising to more than 500 on Monday, much of the opposition to the Orlando sick pay mandate remains committed to blocking such measures.

Scott is now a U.S. senator, and in a statement Monday, his office said “businesses should have the ability to make the best decisions for their employees.”

A representative of the Florida Chamber of Commerce, Edie Ousley, said the organization is “confident employers will do the right thing . . . without government getting in the middle of something that should be left to the private sector.”

Representatives of Walt Disney World did not respond to a request for comment.

But at Darden Restaurants, the company that owns Olive Garden and LongHorn Steakhouse, managers announced Monday that they would be offering employees as much as 40 hours of paid sick leave annually. The benefit had been under consideration, officials said, but Darden moved quickly because of the coronavirus threat.

“As we continue to make investments in our employees, we strengthen our greatest competitive edge – because when our team members win, our guests win,” Darden president and chief executive Gene Lee said in announcing the new benefit.

– – –

White House advisers on Monday presented President Donald Trump with measures aimed at halting the economic disruptions caused by the coronavirus. Among the remedies they discussed was paid sick leave.

Across the country, efforts to contain the coronavirus are complicated by the legions of low-wage workers who lack sick pay and often feel compelled to show up even when they’re showing symptoms. Experts have a name for the phenomenon: “contagious presenteeism.”

For years, these workers say, they’ve just muddled through.

In Detroit, Katie Muncy knew when she got bronchitis last year that there was no way she could afford to call in sick to her job loading catered meals onto airplanes. Instead, she took Robitussin and showed up to her job for 2 1/2 months with the respiratory infection.

“I went in every day,” said Muncy, 39, who has two teenage children. “I was constantly wiping everything down, washing my hands, sanitizing things because I didn’t want anyone else to get sick.”

She eventually caught the flu and took a couple of days off without pay. But it was tough: Bills went unpaid, her family did without milk and fresh produce for a month, and she began relying on the local food bank for meat.

“Honestly I try not to go to work ill, but I really don’t feel like I have a choice,” she said. “If I want to put meals on the table, I have to suck it up and go.”

In Allentown, Pennsylvania, nursing-home worker Christine Talley, 63, came down with a week-long cold in December but decided she had to work anyway, calling out bingo for the home’s 65 residents and wheeling them to art class. She’d used up her vacation and doesn’t get dedicated sick time, so Talley tried to ignore the sneezing, coughing and runny nose. She washed her hands obsessively and wore a mask.

“Getting sick just throws a monkey wrench in your plans,” said Talley, who worked as nurse for 25 years.

And in Miami, Frank, who asked to be identified by his middle name because he fears retribution at work, spends each shift helping hundreds of international travelers make their way through customs checks. Last month he tried to work while he had the flu and pneumonia – and ultimately ended up in the hospital for a week. He was behind on rent for his studio apartment that month.

“When I don’t make enough money, I struggle to pay my bills,” he said.

Now as the coronavirus spreads, he is increasingly worried about his health. He doesn’t usually have time to wash his hands more than twice a day and has begun wearing a mask during to work, even though managers have asked him not to, saying it scares travelers.

“They don’t train us. They don’t tell us what we should be doing to protect ourselves or passengers,” he said. “I worry about it all the time. We still have big flights: 400 people coming from France, 300 people from Spain, planes from Italy and the U.K. We just have to hope that none of us gets the coronavirus so we don’t get other people sick.”

– – –

For years, the difficulties of working without sick pay have received a smattering of attention, but with the coronavirus outbreak, the question of sick pay has risen to national prominence.

Today, about 24% of U.S. workers lack access to sick pay, according to the Bureau of Labor Statistics, or more than 30 million people. Many of them are low-wage workers whose jobs involve working closely with the public – restaurant and retail workers, health-care aides – and this could conceivably make them virus “super spreaders.”

“If employers are providing hand sanitizer and cleaning their offices but they still have workers come in because they can’t take a day away from work when they’re sick, that’s simply not sufficient,” said Sarah Fleisch Fink, vice president of policy at the National Partnership for Women and Families, an advocacy that has campaigned for sick pay requirements.

The same geographic polarization apparent in presidential elections arises as well in debates over sick pay: Some states, most in the Northeast and West Coast, are requiring sick pay. Many other states, most in the South, are heading in the opposite direction: They are passing legislation explicitly forbidding any such mandates.

Since 2011, 13 states and the District of Columbia have required employers to offer sick pay, according to the National Conference of State Legislatures: Arizona, California, Connecticut, Maryland, Massachusetts, Maine, Michigan, Nevada, New Jersey, Oregon, Rhode Island, Vermont and Washington.

Over the same period, more than dozen other states have passed legislation forbidding any such mandates, even if the people of a city or county want the requirement. Those states include: Arkansas, Florida, Iowa, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Wisconsin.

In Wisconsin, for example, Milwaukee voters approved a measure requiring that workers receive sick pay, but state leaders led by then-Gov. Scott Walker, a Republican, passed legislation overruling the local measure.

“This law gives employers the flexibility they need to put people back to work, and that makes Wisconsin a more attractive place to do business,” Walker said at the time. A spokesman for Walker declined to comment Monday. (Walker was succeeded by Democrat Tony Evers last year.)

For Milwaukee workers such as Tracy Jones, 52, who at the time was a factory machine operator and didn’t have sick pay, the reversal was “inhumane.”

One day, she recalled, she stayed on the line despite what turned out to be a blood clot in her leg.

“I didn’t want to lose the day’s pay, and I didn’t want to lose my spot,” she said.

When the mandate was undone by state officials she said, “I was so livid. The people had spoken.”

– – –

Even when states mandate sick pay, however, many workers can remain without it. Companies that hire people as “contractors” rather than as “employees” say they are not obliged to offer sick pay.

Take, for example, Jordan Anderson, 44, an Instacart shopper in Portland, Oregon, where the state requires employers to offer sick pay. Although Anderson works 40 to 50 hours a week picking up groceries and other items for Instacart customers, she isn’t entitled to paid sick leave.

In fact, Anderson can’t remember the last time she took a day off: not when she had the flu, or a pulled muscle in her back, or the several times a month she has debilitating migraines. More than once, she has vomited in the parking lot in the middle of a shift, then walked back into the supermarket to resume picking out groceries and delivering them to customers’ homes.

“If I don’t work, I don’t get paid,” said Anderson. “So far it’s been like, good luck out there and try not to get sick while you’re at it.”

Anderson figures she has to make at least $60 a day to cover monthly expenses and pay rent on her one-bedroom apartment, which she moved into last summer after a year of sleeping on friends’ couches and in her car.

“I shouldn’t be puking next to my car and going inside, washing my hands and doing somebody’s grocery shopping,” she said. “But I am because I don’t have a choice.”

Now with the rise of coronavirus cases, customers sometimes ask her to wear rubber gloves while she shops, or to leave groceries in the garage. She says Instacart sent workers a note a couple of weeks ago urging them to wash their hands and stay home if they’re sick. The company is also recommending that shoppers who have recently traveled abroad to countries such as China and Italy, or live with someone who has, stop working for 14 days.

A spokeswoman for the San Francisco-based company said it is working with local and national authorities to monitor the coronavirus outbreak.

“I don’t think anybody working this job full time – and there are a lot of us – would definitely stay home because of a cough,” Anderson said.

– – –

Last week, Sen. Patty Murray, D-Wash., and Rep. Rosa DeLauro, D-Conn., introduced legislation to provide paid sick days immediately to workers. The legislation would require employers to allow workers to accrue seven days of paid sick leave and to provide an additional 14 days available immediately in the event of any public health emergency.

And on Sunday, House Speaker Nancy Pelosi, D-Calif., and Senate Minority Leader Chuck Schumer, D-N.Y., said any coronavirus economic stimulus plan from the administration should include, among other things, sick leave.

“We are demanding that the administration prioritize the health and safety of American workers and their families over corporate interests,” the Democrats said.

As federal lawmakers consider sick-pay measures, the argument in favor is buttressed by research from economist Nicolas Ziebarth at Cornell University and his colleagues.

Using two independent data sets on flu outbreaks – one from Google and the other from the CDC – the researchers showed that in both cases, places that imposed sick pay mandates reduced flu cases by about 10% or more.

The researchers found that workers who obtained sick-pay coverage through the mandates took two or fewer days of sick pay annually, and that the economic costs of the regulation are fairly small: the equivalent of about 21 cents per hour worked.

Based on the research, Ziebarth said, mandated sick pay “would definitely slow down the spread of the disease, which is crucial in these times.”

For now, amid the mounting toll of coronavirus, some business groups say they are willing at least to talk.

“We’re talking with our members and elected officials about how to help employees and restaurants address this unprecedented crisis,” Sean Kennedy, executive vice president, public affairs, at the National Restaurant Association said in a statement.

The American Health Care Association said its nursing homes “face low reimbursement rates and slim operating margins, sometimes making it challenging to offer paid sick leave as well as overtime to other employees, or hire an agency who have to cover for those sick employees.”

The National Retail Federation, an industry lobbying group, told its members last week that “sick leave policies need to be flexible” and that “it may be necessary to develop an emergency sick leave policy.”

But for Flynn, the Orlando sushi chef, the idea that companies will agree to such mandates seems unlikely. The restaurants he’s known, after all, have long paid lip service to public health while also demanding employees show up for work even if they’re not feeling well.

“They have these signs up in every restaurant I’ve ever worked – ‘Send Sick Employees Home Now,’ ” Flynn said. “But it’s so hypocritical. I’ve never worked at a restaurant that didn’t encourage you to come in no matter what. They’d rather you come in sick than be short a person. It’s exactly opposite of what health officials are asking.”

Coronavirus brings a new legislative push for paid sick leave

How is the pandemic affecting you?

What has changed about your daily life? What kinds of discussions are you having with family members and friends? Are you a health care worker who's on the front lines of the response? Are you a COVID-19 patient or do you know one? Whoever you are, we want to hear from you so our news coverage is as complete, accurate and useful as possible. If you're using a mobile device and can't see the form on this page, click here.

More on the COVID-19 pandemic