U.S. government has lost more than 10k STEM PhDs since Trump took office

I didn't end up moving to California, mostly for family reasons. However, I do in fact get my private health insurance paid (mostly) by my employer in Ireland.

> reason for better quality of care is that in the US system for all its problems, the patient is the customer as they have many options and each doctor is running an independent business. my experience with socialized medicine is that the government is really the customer, not me, and doctors are not really running independent businesses (and when they do, they aren't particularly cheap). It's like having a single HMO that gets to decide what you get with little recourse. While some might equate it to health insurance companies in the US, I, at least, felt I had much more flexibility with them.

I mean, I am a specialist and I like when people listen to me about my specialist advice. Therefore, I'm OK with listening to doctors. Clearly I'll find another doctor if the advice doesn't work consistently but my prior is to listen to the experts, so I don't really see the benefit of the US approach.

Whether that's basic or applied, well who really cares? The distinction is an academic invention because there's no definition of what basic research means and how it's different to applied. Was the transformer algorithm basic research? It's certainly become a fundamental general algorithm, but read the paper and it was designed to help Google Translate.

The majority of us who moved became proficient in a foreign language. Some got permanent EU/UK/Swiss residency or even citizenship. This lab continues to attract researchers from the U.S. and then place them mostly into European and Asian universities or businesses. These folks are largely not going back to America short of forceful expulsion via European anti-immigration policy. I know other research group leaders who have done this same thing.

Someone I know in the U.S. has a PhD/grants/awards and wants to stay close to family/home (in a mid-sized city of a Republican-leaning state) yet hasn't been able to find a job or academic position in biological engineering after a few years of actively looking. The longer they work outside of their major, the harder it will be to secure an engineering/academic career later.

For too many in the U.S. (particularly where I grew up; a farm town) politics is a team sport and the hatred of the other team only intensifies as the government invests in higher education and research. They're willfully blind to the fact that cancer treatments, major agricultural advances (crop resilience, production efficiency, genetic modification), smartphones and fast internet access, trucking, and nearly every aspect of their lives which has vastly improved comes from social spending. Instead, it's stickers on gas pumps and chants at NASCAR races. Leftist voters are not as decisive at the voting booth as Republicans, and there's still right-wing momentum in many states across all levels of government, the judicial system, and the leadership of the largest companies.

I firmly disbelieve the U.S. can reverse course even after a decade. In my opinion, it would require immense structural and cultural change: breaking up the two-party system, rejecting money in politics, political/judicial age limits, a major push to disrupt clandestine foreign meddling, shifting the partisan balance of courts in a way that cannot later be weaponized, heavy investment in infrastructure and high-visibility patriotic (ideally non-partisan) programs similar to Eisenhower's, the sort of intense media regulation that would restore local journalism in small towns, paying teachers significantly more plus developing more public trust in the educational system, public research investment, high taxes, strong social programs, a rejection of the propaganda that America is the greatest country in the world; basically a shift toward being more like the countries that actually(*) have a high standard of living.

Who has the power to implement these sweeping changes? Would it be a conflict of their personal interests?