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adolescence adult American apprenticeship better bureaucracy cent Chapter college graduates college-for-everyone competition cost Council 37 course credentials degree demand diplo diploma critics diploma requirements diploma system diploma wall District Council 37 doctors earn economic education guilds education industry employers escalation example federal Flexner Report forced four George Wallace Goodman grades Health Careers Program health guilds health industry hiring hospital income industry's Ivar Berg job market John Holt labor law school learning lege less maism Malvina Reynolds medical manpower medical school ment military nation patient Paul Goodman Peace Corps performance person personnel Ph.D physicians ploma practice Princeton High School produced professionals professions proposed Rashi reformers registered nurses rewards schoolmonks shortage skills social society spend Spiro Agnew status Supergrow teachers teaching therapist tion University Washington Washington Monthly York York University young