I said that they often work for the government or healthcare. They often work in education, and they are often corporate climbers, too. And as the latter they already are hired guns against improving things for the workforce. And also, merely having a degree often does not translate into real world skills, although it should. My new neighbor is an advice nurse for a major HMO. This HMO does a lot of nasty tricks on people, simply because they have the power. I had a diagnosis last winter that showed anemia and I also had some bleeding. They wanted me to schedule a colonoscopy. The actual cause of the anemia was giving blood too frequently to the Red Cross, which I now have stopped.

Personnel with this HMO, as long as they are reasonable sticking to the script, are like free riders. The HMO does all of the nasty work, such as getting Medicare payments, or giving healthcare to illegals and getting federal reimbursement. But the personnel think this success is essentially due to their skills and work. My neighbor likes to spout off, sometimes, giving advice, stemming from her "health vision"; like how to take care of trees. She also thinks our liberal government is not responsible for our out of control urban growth, but instead that they are being pushed around by 'developers.'
She's a Bernie supporter, as are many in healthcare.