Yes, I know my experience is far from universal in the US, but I’ve never had a job where I didn’t have decent PTO. Even working grocery and retail when I was young it was pretty good. Later for a hospital system I was getting 26 days + 9 paid holidays. Now I get 28 days + 11 paid holidays. These PTO policies apply to everyone too, from housekeeping to maintenance to licensed staff.

I haven’t looked into it, but don’t quite a few US states and localities also have their own PTO laws? I very much wish the US had federal laws in this regard, because I know there are many bad actors employing people

Do you need to use your pto days if you are sick and can’t work? Here in the nordics we get 25 days paid vacation and if we are sick it is reported as sick day/s and we keep all vacation days. And if you have planned vacation and gets sick you can report it as sick days and use your vacation later.