
In the early 1800s, Parisian doctor François Broussais popularized the use of leeches for bloodletting. Vampires, apparently, were going out of fashion, and besides, leeches can eat 10 times their weight in blood, which seems more efficient than vampires anyway.
By the 1830s, France was importing 40 million leeches a year for medical use. Someone was getting rich from the leech trade.
Almost 200 years later, the use of leeches is reserved for freaking out kids on camping trips. We have better ways of treating illness now, but blood collection is still important.
In fact, there is a whole industry based on blood collection (or, for those daring enough to proceed without spellcheck, phlebotomy).
If phlebotomy is your business, then your phlebotomists are your employees, ruled a district court in Michigan a few weeks ago. The case involved a group of blood collectors who were classified as independent contractors. They signed IC agreements and were paid in gross.
They sued under the Fair Labor Standards Act (FLSA), alleging that under the law, they were really employees and should have been paid overtime. The court agreed, with no trial, granting summary judgment to the plaintiffs. Ouch.
The court applied an Economic Realities Test, and found that the factors decisively pointed toward employee status for the phlebotomists. Key facts that weighed in favor of employee status included:
- The permanency of the relationship: They worked regularly for the defendant for months at a time.
- Skill required: No special certification is needed to draw blood (see, e.g., resumes of leeches, vampires).
- Lack of investment in equipment: The phlebotomists didn’t bring or invest in their own equipment.
- Opportunity for profit or loss based on managerial skill: Nope. They were paid based on hours worked.
- Right to Control: The work was largely directed by the defendant, and the phlebotomists were required to sign non-compete agreements, which prevented them from operating their own businesses in phlebotomy.
- Integral part of the business. Well, duh. It’s a phlebotomy business.
The case is a good reminder that it doesn’t matter what the parties call the relationship. The law dictates whether a worker is an employee or an independent contractor, and you can’t agree to contract out of the law.
What a bloody mess.
© 2026 Todd Lebowitz, posted on WhoIsMyEmployee.com, Exploring Issues of Independent Contractor Misclassification and Joint Employment. All rights reserved.










