Sick Note shows how the question of ''who is really sick?'' has never been straightforward and will continue to perplex the British state.Sick Note is a history of how the British state asked, ''who is really sick?'' Tracing medical certification for absence from work from 1948 to 2010, Gareth Millward shows that doctors, employers, employees, politicians, media commentators, and citizens concerned themselves with measuring sickness. At various times, each understood that a signed note from a doctor was not enough to ''prove'' whether someone was really sick. Yet, with no better alternative on offer, the sick note survived in practice and in the popular imagination - just like the welfare state itself.Sick Note reveals the interplay between medical, employment, and social security policy. The physical note became an integral part of working and living in Britain, while the term ''sick note'' was often deployed rhetorically as a mocking nickname or symbol of Britain''s economic and poli