With the United States the only one of 22 nations that rank highly in terms of economic and human development not to guarantee paid sick leave, a number of states and municipalities have instituted policies in which employers must provide their workers with a mechanism to earn time to tend to a personal or family illness based on the number of hours logged in a given year. In New Jersey, several municipalities have established earned-sick-leave ordinances within their jurisdictions, while legislation regarding a statewide requirement also has progressed. As the social, economic and health-related advantages of the initiative outweigh the perceived losses, earned sick leave should extend throughout the state.