Tariffs or Not, Health Care Is Where the Jobs Are

Last week’s employment report offered what may be the last clear picture of the US job market before President Donald Trump’s tariff shock. Overall, it looked pretty healthy, with a 4.2% unemployment rate, 80.4% of the prime-age population employed and 1.9 million nonfarm payroll jobs added over the past 12 months.

Where did those 1.9 million new positions come from? Almost half were in health care and social assistance, with government (where the gains were all at the state and local level), leisure and hospitality, and transportation and warehousing also big contributors. Employment was down in manufacturing, professional and business services, information (publishing, software, telecommunications and internet) and mining and logging (mostly oil and gas extraction).

where employment growth was

Apart from construction, all the growth has been in service jobs. For better or worse, this is what Trump wants to change. Whether suddenly raising tariffs on almost every imported product will shift job growth toward goods production or just put an end to job growth is one of several big questions about his approach. Another big question is whether the job-growth trajectory of the past few decades, driven to a remarkable extent by hiring in health care and social assistance, is due to structural shifts that will outlast Trump’s tariff war.

In the near-term, the dependence of US companies on cheap imported components and finished goods argues for a shock to profits that will force belt-tightening and potentially layoffs. Over the longer run, Trump’s goal to recreate past manufacturing glory probably can’t be achieved without technological advances that would cancel out a lot of the potential job growth. And redistributing labor from services to manufacturing may also be odds with the demographics of an aging America.