I've had both. My current employer is bending over backwards trying to take care of their employees. Three others I can think of also did exemplary jobs of looking after their people.

On the other hand, I've had at least one who didn't give a damn, and another whose effort was half-hearted at best.

There are good employers out there and there are bad ones.

I'm not sure I get what the problem is. If you're still getting a paid day off, what difference does it make whether it's a vacation day or a PTO day?