House Calls
I was listening to NPR and heard an interesting new piece of technology that is currently under trial here in Houston. What they are doing is putting remote monitoring systems in ICU an other departments that allows people in a remote location to monitor patients. The people in the ICU may be lessoned and a doctor is only needed for twice a day rounds instead of constant monitoring. This all sounds well and good until they interviewed the people doing the monitoring. They are obviously Indian. This trial is just a preliminary test to outsource medical care to other countries.
I envision a day when you don't get to see a doctor. You have a health tech ($15/hour) hook the monitor systems up to you  and some floating head will appear on a monitor with an all too familiar accent. India will be the most populous nation in 50 years. They will have all the jobs. They will have Bally-wood (Their version of Hollywood). They will be the center of programming, documentation, remote medical, and culture. The whole world hates the U. S.  Our culture is headed for a downfall. The problem is, we cannot become another Canada.  The rest of the world holds far to large a grudge. hopefully world wart three will take care of most of those ingrates.
Her is what I hope is happening. There is some grand plan to replace the oil industry with other jobs in the rest of the world. So much of the economy is based on energy that even if there is a new magic source of renewable energy, we cannot just throw the switch because the world as we know it would collapse into anarchy. Thus, other means of support must be inserted into other economies.
Between outsourcing tech jobs, doctors, help desk, call centers, research, manufacturing, and the like, the only thing left is management and marketing. We are going to be a nation of people trying to sell products and services made elsewhere to each other. The U. S. is trying like mad to open other markets around the world. I keep hearing it is to sell American products to new people. The only exports I hear increasing are jobs.