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Yet, so many of these people who have "back pain" think they should go home after working all day, and feel like they just left the office.

I think it is more like many of those people think they have the right to be paid and not have to go to work at all. Many are seasonal laborers that conveniently file just as the work season ends.

Reminds me of the case many years ago where they found all these college football players pulling in unemployment. Seems that they were 'hired' into a sometimes fictional job (sometimes a real job inorder to keep in shape) and when the work season ended, they were let go to return to college and play ball AND COLLECT UNEMPLOYMENT! And it was all arranged via the alumni and boosters.

You're right on this, I agree. However, I have also seen just what I described. The final straw for me with such people was when I had a guy in his mid-twenties complain about how hard he had worked the day before (he had had to work with me) and, at the time, I was late thirties, tall and thin, while this guy was very muscular.