Earlier quoted context omitted.
The older folks typically also benefited from getting into housing when it was less scarce, riding one or more waves of progress, at a time where healthcare ROI was much higher. My generation faces a different economic situation. I know people in academia that love what they do and dreamed of living a life like Rudy's. In practice, they're stuck - huge debts, dismally low post-grad wages, stuck renting, just hoping f…
Your housing comment is key - the grind of paying for rent or a mortgage with two incomes really stifles and ability people have to try something.
Even a tenured professor at Columbia, who won the Nobel prize and loves their work and has a wife earning a matching compensation, would have a pretty miserable life if they insisted on mortgaging a large Upper East Side townhouse.
It's the same in Palo Alto from what I've heard.