I don't think it's Utopia either (I was being a bit sarcastic) but it's the best case scenario; the worst case is governments do nothing and let "the market" run its course; this could be borderline Great Depression levels of depravity I think.

As for those professions; I think they are objectively hard for certain kinds of people but I think much of the problem is the working conditions; less shifts, less stress, more manpower and you'll see more satisfaction. There's really no reason why teachers in the U.S should be this burned out! In Scandinavia being a teacher is a honorable, high status profession. Much of this has to do with framing and societal prestige rather than the actual work itself. If you pay elder carers more they'll be happier. We pretty treat our elders like a burden in most modern societies, in more traditional societies I'm assuming if you said your job is caring for elders it is not a low status gig.