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As a counterpoint, there are no objective scientific tests for, say, back pain or neck pain or nausea or menstrual cramps.

That is because pain is not a disease, it is a subjective experience (or symptom) generated by the nervous system.

So? A disease (or injury) is what causes the pain. Why the specious distinction?

Fair point. Counterpoint: in the sense that it is dis-ease (the absence of feeling well and easy going) it may still be a sufficient reason to take a day off work.

Agreed. You shouldnt need a diagnosis to take a day off work

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