I don't buy the "too few jobs argument". We got told this 30 years ago when computers started becoming mainstream and households had one person going out to work. Certain jobs get automated but more bullshit jobs get created.

The % of total population that works has continued to drop.

However, promoting BS jobs makes society worse. EX: 80+% of all time and effort spent on medical billing is simply economic dead weight.

Medical billing reduces doctor effectiveness requiring more doctors, more people training doctors, and doctors to work longer hours doing crap work (filling out forms).

Remove bullshit jobs and only a small fraction of the population actually works. Long term we can make an endless hell where paperwork is what 98% of humanity does, or we can just chose another system.

PS: In the US over 50% of all money spent on healthcare goes to Overhead that has nothing to do with patents. In many cases it’s cheaper for people with insurance to go to private doctors who don’t accept insurance. [Think about that for a bit.]

Your example of medical admin expenses is useful. The reason why many activities are no longer viable is due to the amazing increase in efficiency of rent extraction. Same for land.