I know precisely one person my age who's working construction and he knows he's got to get out before it does the same to him. If most of the people you know work office jobs you may not be familiar with just how routine and severe those "injuries" are that they mention. All the cultural factors are real too -- hoo BOY my mom has stories -- but you gotta look at this stuff through how physically destructive it is to the workers.
(I'm sure there's a health care angle too, of course -- so much of my parents' compensation went to those "Cadillac" health care plans that politicians don't understand the point of. It'd be interesting to compare Canada)