High-skill scarcity inflates U.S. wages

Updated: 2026.03.24 2H ago 1 sources
An NBER paper shows U.S. physicians earn roughly two to four times what peers earn in Canada, the Netherlands, and Sweden, but their relative standing among high‑skill occupations is similar across countries. That pattern suggests the U.S. pays a broad premium to top talent because it lacks enough very high‑skill (high‑IQ) workers, pushing up wages across elite professions. — If true, this reframes debates about high professional pay (doctors, engineers, etc.) as a labor‑supply and immigration problem rather than a sectoral market‑failure unique to health care, so policy responses should focus on attracting and training high‑skill talent.

Sources

Physician Incomes and the Extreme Shortage of High IQ Workers
Alex Tabarrok 2026.03.24 100% relevant
NBER finding that U.S. physicians earn ~2–4x more than counterparts plus the cited estimate that immigrants account for 32% of aggregate U.S. innovation.
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