We must face the fact that injured workers are percieved to be a burden at every level.Once injured you have only few choices to RTW.
The reason is that the system has been misused by a few and the employers live in fear.
If you RTW you will take the chance of losing benefits because you tried. If you are not successful and become ill or RTW before you are ready, you are on your own. The Doctors will return you just because you ask them to give you a release, ready or not.
We live in a must produce everyday society and there is very little room for those who cannot produce. We must have this conversation of reality before we can move forward. This a very complicated issue with many variables.