Many folks that are unemployed don't even report their job loss to unemployment agencies. So the numbers are far from accurate. Job gains in health care are government induced (Obama care) and on the tax payers. Job gains in local government are on the tax payers. Job gains in leisure and hospitality are because unemployed folks have more free time but spend less and less savings dwindle. Hospitality jobs are not normally high paying jobs. So medical jobs or local government take your pick.