Twice a year, we have an outside party (your AME) determine whether we are medically qualified to perform our job. The rest of the year, THE INDIVIDUAL PILOT is responsible for this judgement.
Do not impugn my integrity or judgement if I choose to call in sick for something that isn't easily verified. I don't run to the MD when I have a cold (which, by the way, takes 10-15 days to run it's course), but I sure as hell won't show up to work like Typhoid Mary and expose my co-workers to my crud. Every time I hear some knucklehead say with pride in his voice, "I haven't called in sick for 15 years!", it drives me nuts.
You trust my judgement when I sign for a jet and take a plane-load of people into the Wild Blue. Why not extend that trust to my use of a negotiated benefit? The company is making this out to be a pilot integrity issue. That is a smokescreen, IMHO. This is a blatant attempt to cut costs through a concession that we shouldn't have to deal with. It is a safety of flight and a quality of life issue that should have been fought for by DALPA.