You are missing my point.
I’ve done what you are doing for 7 uncles, aunts, and parents.
Imagine when you and I are going through that process in our lives. Do YOU have access to relatives doing that? My mom is in a skilled nursing facility now, but she was living on her own. Of four children, three were more than 1,000 miles away due to careers, marriages, etc. I am sure you and I could write a book about how this happens to our peers.
My point is that these elders are living longer; we will live even longer; and the Gen X’ers behind me will live even longer because they, for the most part, don’t smoke.
I also use elder care as an example because nursing assistants is a gateway position for a lot of first generation immigrants. But I could have picked just about any industry for my example.
There just are not a ton of younger people to fill these positions.
“My mom is in a skilled nursing facility now”
The wages while not great are still high enough to successfully attract the native born in my area.
Please also note your use of the term skilled.
Do you want the screaming scofflaws (and future ones) taking care of your loved ones?