Earlier quoted context omitted.
And what good is a large population of people in their peak consumption years if they have no money with which to consume? So long as you have a low-paid workforce who have to save their money (either themselves or via insurance companies) in case they get an infected tooth or need to see a doctor for an antibiotic prescription, you'll have low consumption spending and low growth.
even medium to highly paid workforce members aren't entirely capable of spending en masse these days. I'd love to stop paying $3500/month in rent, but any property to buy around here has a median price of $1.2 million. Unless we all move to rural Indiana, housing + healthcare is designed to eat 100% of your after-tax income with no room for further growth. (of course, that's assuming you're just a putz serial employe…
It's totally possible to work and live somewhere other than California.
[0] - https://www.redfin.com/city/30772/OR/Portland/filter#!uipt=1...