will make a lot less. Also, they will ship poorer sick people elsewhere for care. Or use virtual reality.

Wages will fall a lot. Its unavoidable when you have cheap foreign competition. That's unfair and going to be nasty because the people who will get the wage cuts or lose their jobs are not the people who are wasting money.

Its totally the wrong approach.

Look at it this way, jobs are going away for good. The last thing we need is a tiered system because the poor are going to be very very very poor and the rich are going to be very very rich. A system like that will lead, frankly to genocide.