I once worked with a guy who was always moaning and groaning about his "bad back" as he worked. He was doing the job "under the table" because he was receiving "Workman Compensation" pay from the government for an industrial accident, and if the government knew he was working he would lose that. I ran across a really good masseuse/physio therapist who was visiting from Japan. I told my work mate that I could get him a session and I was very confident that it would fix his bad back. He looked at me with trepidation and said: "Oh, no. I will lose my Workman's Compensation!" He wouldn't book an appointment with the therapist.
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Wow, that's a sad tale, too. Quite common, unfortunately. One of my neighbors when I lived in Texas many years back was actually a Workman's Comp investigator, and he would tell stories about all sorts of trickery and shenanigans people would pull... including filming a man with a "debilitating bad back" lifting the engine out of the back of a VW bug!
"People are addicted to their problems because it lets them escape their fears."
Dakota Meyer