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When you say "we aren't" I hope you realize you aren't speaking for everyone. Even doctors across borders probably needs an IT person. There are jobs available for less pay that are fulfilling in other ways. I know I have taken them and am better off for it.
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I'm pretty sure VC backed companies are by and large doing it to increase the networth of the founders, and hopefully investors.

I don't lie to myself, I know why I do this.

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