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People who approach the health services to request sick leave often suffer from unspecific health complaints that have complex causes. The National Insurance Service’s regulations clearly stipulate that a reduced ability to work should be caused by disease or injury. Medical assessments related to social insurance claims take place at the confluence of the patient’s subjective perceptions and the doctor’s objective medical assessments. The purpose of this chronicle is to highlight an obvious incongruity between the legal basis and the practices for granting sick leave, in which the doctor’s subjectivity is rarely discussed.

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