In the United States, workers work among the longest, most extreme, and most irregular hours; have no guarantee to paid sick days, paid vacation, or paid family leave; and pay more for health insurance, yet are sicker and more stressed out than workers in other advanced economies. U.S. companies fret about rising health care costs—health spending per capita in the U.S. increased nearly 29 fold in the past 40 years, outpacing the growth of the economy—and institute wellness programs like lunchtime yoga, meditation, anti-smoking, or obesity prevention.

But Jeffrey Pfeffer, a professor of organizational behavior at Stanford Graduate School of Business, says companies are completely missing the point. Offering lunchtime yoga to stressed-out workers ignores the real reason why workers are so stressed out in the first place—management practices like long work hours, unpredictable schedules, toxic bosses, and after-hours emails. It’s not individual workers making bad choices about their health that’s making them so sick. It’s the way corporate America expects workers to work. And in his 2018 book, Dying for a Paycheck, he argues that the costs have become so great that it’s time for companies and the government to take responsibility and create real change.