Even a stopped clock is right twice a day. It's kind of amazing to me how much USGov business Accenture continued to soak up after the misfired start of healthcare.gov. Their core competency is pretty clearly acquiring contracts, not fulfilling them.
There's a pretty sizable proportion of USians that have a hard time accepting that other countries exist.
For what it's worth, we're also starting to have similar (though so far less pronounced) reactions to domestic travel. There's a number of states that are unsafe to travel to if you or someone in your family has a gender identity that's not on the approved list--and that has an outsize effect. I won't go to those places since they don't deserve my tax dollars, and am just jumping on a bandwagon of plenty of other people in making that decision.
A comparison of testing criticality across countries would be interesting to read if someone knows a decent reference. My sense (which I don't trust) is that test results matter at-least-as much or more in other places than they do in the US. For example, are England's A-levels or China's gaokao tests or Germany's Abitur tests more or less important than US SATs/ACTs?
It's also that they are using a bad metric, as pay has always heavily depended on the kind of job and qualifications they require.
I bet that being a male doctor still pays more than being a female one because employers are not forced to risk-balance men and women by giving both the exact same parenthood related benefits, even if men could be working around the birth period while women clearly shouldn't.
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