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On a somewhat related note, people may know that Pittsburgh is one of the top places in the US for medical research and treatment. It's the home of Carnegie Mellon University, the University of Pittsburgh, and many others. It has "the second-most hospitals and second-most doctors per capita of any in the nation".
But why would the "Steel City" have such good medical care? It turns out that for a while, steel worker unions were really powerful, and one of the main benefits the unions fought for was good health care for their members. Now the steel industry is long gone, but what remains is a great medical system that was essentially founded by those unions.
Moral of the story? If you're a worker in a dirty, dangerous industry, you can either vote for someone like Trump who will gut your healthcare and strip you of government protections, or you can form a union and get the protection you deserve.