Being sick is a costly business for Bill Thompson, who worked in the fast-food industry in Independence, Missouri, for more than 30 years, and recently worked at Guitar Center until early July, when he was laid off.

“As an older worker, I have health issues from working on my feet and with my hands for many years with no breaks for eight to 10 hours a day. I have done it for 38 years now, living paycheck to paycheck,” 54-year-old Thompson said, noting in Missouri workers are not mandated breaks of any kind during work.

So when Republicans in Missouri repealed a paid sick leave mandate that the state’s voters approved by 58% after an aggressive lobbying campaign by the Missouri chamber of commerce and industry and other business industry groups, he said, “It was a literal gut punch.