The American doctors would seem to be one example. They evidently have overwhelming reasons, not to give their patients the time and attention that American doctors used to give. Maybe this is a cultural tradition that somehow got going and now maintains itself, keeps rolling along, with outstanding altruists setting an example that other persons emulate. The Beresfords probably should be included here too, as the landed family that evidently feels some continuing obligation to take care of its people. It doesn't, totally, depend on these roles.
Some humble occupations offer good opportunities.
We were told of a simple girl, a home-help worker, who evidently had found fulfillment on her job. I compared her with certain nursing home aides I had encountered in America. However the home-help worker probably had an even better chance, operating on her own, performing an overall function, without any of the interference which might come from being part of a staff of a nursing home. Ian Price told about a service opportunity that eventually dried up, within the Barclays Bank organization. As a bank manager, Ian had run a relaxed operation.