T
ThePCWife
Guest
The US has great quality, access and ok affordability. Its health care system is a middle class and upper middle class jobs program, though, and no longer primarily a vehicle to provide health care. This was an unforeseen side effect of educated women entering the workforce and wanting the salaries to match their credentials and of the struggle to replace middle class manufacturing jobs with something else that could keep families middle class. As more and more other industries disappear, men have joined on in much larger numbers and additional new upper middle class jobs are being generated that require less than a full MD or nursing path, but pay six figure salaries or very close to it.
It’s also, again as a side effect, a path to the lowest tier of the middle class for single parents, especially single mothers. The lower-middle of health care jobs generally pays what amounts to a good wage if you’re scrambling after a divorce or as a never-married mother and you don’t have to rack up a huge debt to pick up the necessary 1-3 year credential.
Replacing a doctor who might have once gotten 250k with three people who get 90k is, ultimately more expensive, especially since it’s triple the lavish benefits upper middle earners receive. But it creates three solidly middle class jobs, and puts three families instead of just one into the six figure club once the other parent’s salary is added in.
Mysteriously, nobody complaining about how much America sucks at everything (but yet it needs to let lots more people in, especially if they aren’t educated or trained in rare skills) ever think about the overall structure of the American economy and how desk jobs have to be devised to replace “dirty” jobs given political and social realities.
It’s also, again as a side effect, a path to the lowest tier of the middle class for single parents, especially single mothers. The lower-middle of health care jobs generally pays what amounts to a good wage if you’re scrambling after a divorce or as a never-married mother and you don’t have to rack up a huge debt to pick up the necessary 1-3 year credential.
Replacing a doctor who might have once gotten 250k with three people who get 90k is, ultimately more expensive, especially since it’s triple the lavish benefits upper middle earners receive. But it creates three solidly middle class jobs, and puts three families instead of just one into the six figure club once the other parent’s salary is added in.
Mysteriously, nobody complaining about how much America sucks at everything (but yet it needs to let lots more people in, especially if they aren’t educated or trained in rare skills) ever think about the overall structure of the American economy and how desk jobs have to be devised to replace “dirty” jobs given political and social realities.