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Perhaps those 40 hours should be available to anyone who needs doctors' appointments during the workday. Which is when doctors' offices are open, after all. You could go get a mammogram or prostate exam instead of an ultrasound. You could pee in a cup for entirely different reasons than testing for preeclampsia.You could get an IUD or a vasectomy or abortion (*not available in all states) so you won't need the prenatal care. You could get swabbed for strep throat and get antibiotics, or get vaccinated to prevent spreading viruses.
Maybe we could stretch it to eye exams and dental work, even though they are otherwise excluded from "medical" care.
While we're at it, nonsmokers should have a place to go (on the opposite side of the building from the smoke-break area) for 10 minutes of deeply breathing fresh air.
In Spain, which is way way more progressive than US, women get unlimited paid leave during pregnancy (as in you can go to as many medical appointments as you want, there's no cap) and normal appointments are still not covered. My guess is that covering all of the appointments would mean quite a big hit for the economy while the amount of times a woman will get pregnant is very limited and will not cause such issues.
Also, if you need to get out to breath the air quality at your workplace doesn't meet the legal requirements and should be fixed.
On that second item, my point was about smokers getting smoke breaks, and how for fairness nonsmokers should get equal breaks. It wasn't about any lack of clean air in the office. But if the nonsmokers had to go where the smokers are smoking it would be deleterious to their health. If you think about it, part of the pleasure of smoking is those long slow draughts, but so much better if it's draughts of fresh air. Very zen.
That makes sense. I actually don't know what the law says about smoke breaks. I know I can have 5 minute brake every hour and one 15 minute break per day on top of lunch break. Of course my workplace is not that strict but that's what the law says. I don't know if smokers get more according to the law or they're supposed to use the 5 minute breaks.