Even the ancient Egyptians had paid sick days

How state-supported health care worked in ancient times.

By Anne Austin

We might think of state-supported health care as an innovation of the 20th century, but it’s a much older tradition. In fact, texts from a village dating to Egypt’s New Kingdom period, about 3,100 to 3,600 years ago, suggest that ancient Egypt had a state-supported health-care network designed to ensure that workers making the king’s tomb were productive.

Health care boosted productivity on the royal tombs

The village of Deir el-Medina was built for the workmen who made the royal tombs during the New Kingdom (1550 to 1070 BCE). During this period, kings were buried in the Valley of the Kings in a series of rock-cut tombs, not the enormous pyramids of the past. The village was built close enough to the royal tomb to ensure that workers could hike there on a weekly basis.

These workmen were not what we normally picture when we think about the men who built and decorated ancient Egyptian royal tombs — they were highly skilled craftsmen. The workmen at Deir el-Medina were given a variety of amenities afforded only to those with the craftsmanship and knowledge necessary to work on something as important as the royal tomb.

The village was allotted extra support: The Egyptian state paid them monthly wages in the form of grain and provided them with housing and servants to assist with tasks such as washing laundry, grinding grain and porting water. Their families lived with them in the village, and wives and children could also benefit from these provisions from the state.

Stanford archaeologist leads the first detailed study of human remains at the ancient Egyptian site of Deir el-Medina

By combining an analysis of written artifacts with a study of skeletal remains, Stanford postdoctoral scholar Anne Austin is creating a detailed picture of care and medicine in the ancient world.

By Barbara Wilcox 

Ancient Egyptian workers in a village that's now called Deir el-Medina were beneficiaries of what Stanford Egyptologist Anne Austin calls "the earliest documented governmental health care plan."

The craftsmen who built Egyptian pharaohs' royal tombs across the Nile from the modern city of Luxor worked under grueling conditions, but they could also take a paid sick day or visit a "clinic" for a free checkup.

For decades, Egyptologists have seen evidence of these health care benefits in the well preserved written records from the site, but Austin, a specialist in osteo-archaeology (the study of ancient bones), led the first detailed study of human remains at the site.

A postdoctoral scholar in the Department of History, Austin compared Deir el-Medina's well-known textual artifacts to physical evidence of health and disease to create a newly comprehensive picture of how Egyptian workers lived. Austin is continuing her research during her tenure as a fellow in the Andrew W. Mellon Fellowship of Scholars in the Humanities.

In skeletal remains that she found in the village's cemeteries, Austin saw "evidence for state-subsidized health care among these workers, but also significant occupational stress fueled by pressure from the state to work."