You cannot control for income and education as population density is
completely enmeshed with income and education and professionals.
Social, geographic, cultural, language, and other distances and differences
determine opportunity and outcomes. Those at the top in admissions,
education, urban origins, professional, and other status measures are Asian
Indian and others with similar demographics (all others who are most urban,
highest income, most professional, most educated, most organized), then
Asian and similar demographics, then the broad middle, then those somewhat
different, then those different in multiple categories. Longevity, health
status, admissions, education, and opportunity follow these rankings.
There are two opposing theories
1. concentrations are good
2. distributions are good
concentrations are good for those who have the fortunate birth or fortunate
circumstance
distributions are good for those who have middle and lower income origins
Balance is necessary, particularly important is avoiding processes that
result in increasing divisions between top professionals and the rest
1. elite professionals and the top income most urban status - that shape
societies (well if they understand the nation, poorly if they do not)
2. serving professionals - that run societies (well if enough and rewarded
appropriately, poorly if not enough or poorly rewarded)
3. lower and middle income pops - that become serving professionals and are
society (content if their children have a reasonable chance, discontented
if their children do not have a reasonable chance, major problems if young
lower income males have little chance)
Urban planners are losing to real estate developers.
Donald Trump is on TV influencing billions and even mailing millions of
letters to all across the nation, urban planners run small pieces of our
office of rural health.
Child development experts work in major medical centers, not communities or
day care. This may be difficult to figure out, but it is the only place
where child development professionals have a future in America.
Nurses and teachers must leave nursing and teaching to become supervisors
or practitioners or enter another career to survive. this of course
depletes nursing and teaching of servants and leadership.
California and Florida are running out of water but still attract people
and those attracted must pay the most for the privilege.
Arizona has little water, and is the fastest growing state by far
North Dakota has some of the best education and the best potential for a
place to live well that will do well in national or international
emergencies, yet loses far too many.
Hard working midwesterners with high school degrees watch as their children
join the ranks of the elitely poor with 30% or more of their children in
poverty.
It will be very difficult to explain to them why their hard work and their
high school degrees have done little to help them provide a better future.
Then someone should ask, after so many generations when both parents work
at all levels, who is left to nurture the children so that they care about
others at all?
Robert C. Bowman, M.D.
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