It’s not just poor wages that food industry workers have to deal with. Most (83%) also don’t have health insurance and, as a result, many (35%) rely on emergency rooms for treatment when they get sick. And not having insurance may actually be harming those who rely on the industry employees. More than half of food industry workers say they have worked when they’re sick, largely because they either don’t have paid sick days or don’t even know that they do (79%).

Just as troubling, many of them (40%) work more than 40 hours a week and a third say they don’t always receive lunch breaks.