No, the job surplus isn’t “only” at the bottom of the scale, but that’s where the big numbers are.
WRT doctors and nurses in particular, there’s a *whole different* issue specific to them that IMHO is not getting nearly enough attention. There’s a definite shortage developing for doctors and nurses, and it’s not about immigration. It’s been developing for years and it’s about medicare, malpractice insurance and a host of other things killing off our medical system. It’s a little off-topic, but it needs to start getting attention.