As a middle american, I'm actually serious when I say this could be a way middle america gets on it's feet again. Being a biomedical researcher at a university hospital, the hospital has proliferated with all types of trainees. What's holding back the basic research side? It's an assembly line in the same way the midwest is familiar, the automobile industry. However, universities aren't good businesses, and what's missing is big pharma companies paying employees fair wages to do this work. Though companies saving the day won't work either because putting people to work we'll mean they won't get sick which is bad for business. So oh well on to the next approach.