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Why do you think small companies are going to have more loyalty to an employee?

That's not my experience at all. If anything, they let go of employees sooner because the small company doesn't have the extra money around to pay them. If an employee isn't pulling their weight for a couple of weeks because of health issues, the small company can't afford that, end of story.

Large corporations are actually much more flexible and able to accomodate health situations in my experience, simply because they can afford to be.

"By necessity, large companies ultimately operate by documented process and this makes it hard for them to accomodate outside-normal needs unless such accomodation has been encoded in the process."

I would think it's just the opposite. Larger companies are more likely to have the resource to make accommodations and a process for handling accommodation requests.

The companies I worked for which were the most inflexible and most abusive of employees were all small companies.