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Doctors' Concerns About Medical Certification
The sick note was designed in those historical times for white male breadwinners. Doctors have always been worried that if they are the only ones allowed to write sick notes, state is going to coerce them into signing off as many people as possible as fit to work. It really changes in the 1980s where the Thatcher government said why don't we just merge the whole thing and get employers to do it? So at that point, the government has less reason to ask for short-term sick notes.