For many years the United States was virtually the only major industrial- ized country without a family and medical leave policy. Employers could legally fire a worker who needed time off to care for a seriously ill child, parent, or spouse. Employers had wide latitude to fire workers tempo- rarily unable to work because of illnesses or injuries. Employers could legally fire women who needed time off for pregnancy and childbirth if they also denied time off to nonpregnant employees who were unable to work. And, although some employers provided parental leave after the birth of a new child, this discretionary leave.