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... and to promote national interests in preserving family integrity. The FMLA seeks to accomplish these purposes in a manner that accommodates the legitimate interests of employers, and which minimizes the potential for employment discrimination on the basis of sex, while promoting equal employment opportunity for men and women. The enactment of the FMLA was predicated upon two fundamental concerns-the needs of the U.S. workforce and the development of high-performance organizations. Increasingly, American children and growing numbers of the elderly are dependent on working family members who spend long hours on the job. ... exception has to do with the key employee's return to work and job restoration. Simply put, if the employer would suffer substantial and grievous economic injury to its operations, the employer may refuse to reinstate certain highly paid key employees after using FMLA leave, during which health benefits are maintained. Denying return to work or restoration of job requires careful adherence to rules that appear in Part 2 of this article. WHICH EMPLOYERS MUST COMPLY? Basically, the Act requires compliance by employers of 50 or more employees for 20 or more work weeks ... to provide certification of a serious health condition for an employee or an immediate family member include: a) doctors of medicine or osteopathy authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices; b) podiatrists, dentists, clinical psychologists, optometrists, and chiropractors (limited to treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist) authorized to practice in the State and performing within the scope of their practice under State law; c) nurse ...