Most of their workload is bullshit. People with colds and sore throats, depressing people using ER as primary care, assholes using 911 to score Medicaid cab vouchers.
And at any time, any number of people can show up with any kind of personal tragedies from stokes to various traumas. My sister quit after a 13 year old bled out from a gsw, and she walked out of the room and got kicked in the head by an prisoner who had been stabbed after he bit the ears off of three other prisoners, and broke the arm of a guard.
I would imagine that cases should follow a bell curve - sure, the exceptionally good cases where you feel you saved someone's life are rare, but so are the terrible cases that haunt you at night; and most would fall somewhere in the middle.
That said, I would also wager that the curve can be skewed towards one side or the other depending on the location, timing of your shift, or any other factors.
Having worked as a psych tech and later as an EMT in a major public hospital in Houston, you’d be surprised about how not-well paid many allied health professons are. And the janitors get to clean up the blood and hear the exact same screams or being on the receiving end of drug fueled rage attacks — and they aren’t getting paid much. If you sign up to work in what is effectively a battlefield hospital, you are exposed to the vile underbelly of society on a daily basis. And how does a union matter? It doesn’t shield you from getting attacked or vomited in by violent drunks or attacked by hysterical family members.
Let’s say a content moderator got paid $200k per year, that doesn’t change the images they see. This isn’t about money as much as it’s about the requirements and preparation required for the job.