Yea time off is a bit iffy here. Some of the gig companies currently (due to covid) provides some level of "paid" sick days. But yea as a contractor it's probably less relevant than retirement and healthcare.

Time off is one of the greatest scams in the modern economy. Unless you work a position where the time increment of your work is less than the amount of time you take off, ultimately you end up being pushed to do the same amount of work in less time. You might as well have skipped your vacation or planned your PTO during a less busy time.

Really all PTO is for most salary exempt positions anymore is ability to delay work without getting fired. Now if you work in a position where you churn out things on a daily basis or less and someone will fill in for you while you're gone, PTO is actually PTO.

An agreement to be able to delay work without getting fired doesn't seem entirely like a scam.

It is when you call it vacation or paid time off. Call it "work delay credits" or something of that nature.

There's an implication from PTO of a different era where you weren't required to makeup work you missed while on PTO. Much of that has disappeared. That's fine for most salary exempt positions assuming you aren't fed a constant queue of work to keep you pushing 50+ hour weeks regularly and it's OK to do 20 hour work weeks and some 50 hour work weeks.

Maybe I'm just old and people don't care that they do more for less TC than they did in years past.