Attendance awards at school are to train us to become good little worker bees working to create billions for our owners, who never take a day off work for something as non-profitable as illness. Every adult I've met has said they feel guilty (or have had to learn to not feel guilty) when they call in sick, even when they are so sick they can't stand up. And when we become disabled or chronically ill and are no longer able to be 'productive' we have to work through feelings of guilt on top of the pain, suffering, and grief of losing our lives.