I'm more concerned with what happens once its denied than how often it happens or if someone maybe didn't get paid. The point is that guys will be pressured to fly sick for borderline, likely unverifiable things under this new system than previously. This obviously won't be an issue as long as your post 100 sick calls are obviously verifiable. And most of the time, dragging yourself in to fly with an unverifiable borderline issue won't lead to anything bad, which is why some will likely go that route rather than find themselves in uncharted waters with nothing but "patient seems completely fine at this time" for a paddle.

Even then it might not be an issue, until and unless they get dirty about it, possibly under a future team. Then it only takes one or two examples to exert massive pressure on the entire group, regardless of outcome.

Again, its not the single biggest issue we face, but we did give them a lot in this area. What we have remaining is still a fairly good benefit, but we gave up a lot and what will they want next time, because they will come for more.