Data released last week shows that the country has added about 359,000 jobs since January 2025, the month Donald Trump returned to the White House. That’s close to the average number of jobs added per month during Joe Biden’s presidency.

That change hasn’t been even across industries. Trump has celebrated the fact that this change in employment has come at the expense of government workers. Looking only at private-sector jobs, more than 600,000 jobs were added.

You would be forgiven for assuming — based on Trump’s rhetoric — that those increases came in things such as manufacturing. But they didn’t. Employment in goods-producing industries — jobs that make things — dropped in 2025. All of the growth, instead, was in the service sector.

Even there, though, growth was uneven. Leisure and hospitality jobs went up a little, but many other segments of services (such as trade and transportation) declined. The biggest growth — anomalous growth, really — was in “private education and health services.”

Almost all of which was actually just in health services.

Within that sub- (sub-sub-) category, growth was actually fairly evenly split between health care and social assistance.

Go down yet another level, though, and you see more divides: big growth in “individual and family services” and a few other things while several other sectors remained flat.

About two-thirds of “individual and family services” is made up of home health and personal care aides. That’s a theme to the growth seen in 2025. The year saw increases in home health care aides, ambulatory health care services, hospitals and nursing/residential care facilities — all jobs related to taking care of people’s health.
This is a continuation of a pattern. Since 2000, the number of people working in individual and family services is up 300%. The number working in retirement and assisted living facilities has more than doubled.

So what’s going on? Well, one central factor here is that Americans keep getting older. The baby boom extended from 1946 to 1964. In 2011, the oldest boomers began hitting age 65. The density of elderly people in the population began to skyrocket, pushing demand for health care aides and (lagging a bit) nursing home and retirement care.









