Maybe whatever days you don’t take off should be paid out yearly instead of accruing to some end date where you leave the company.

Still stand by that taking a break from work is healthy and it makes sense work incentivizes time off.

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I agree, but a company witholding YOUR money, and offering BACK to you as an inventive for you to take more time off because you didn't plan to take time off is a semantics and emotions game. Often times that PTO gets paid out as a bonus and can get taxed at a higher rate.

It's also a one-sized fits a approach to, you get 2 weeks off vacation, and hope that's some healthy recovery... Maybe some need more, some less. I should be allowed to choose.