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If they're talking those 48 minutes are for bathroom breaks only - that seems crazy. I realize somebody with bladder control might have trouble but couldn't they get a Dr's order to allow them more breaks. Still, even if a person has to pee it should only take 5 minutes or so. I work from home and usually take less than 20 minutes or so in the bathroom for the whole day that the kids are here. Even if someone is having trouble going to the bathroom - they could look for a Dr to help them with that. To need that much time is not healthy - somethings wrong.
Still - regulate that? I've been some places where people got two 15 min breaks, one 30 min (punched out) break, and one 10 minute smoking break. My co-workers smoked but I did not. I would tell my boss when I needed my "smoking" break and she'd let me go relax in the breakroom, visit the bathroom, etc. Unless I was sick I didn't need any other breaks to use the bathroom.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma. 
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