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Nationally, nearly half of the total healthcare workforce in the 100 largest American metropolitan areas are employed as nurses, support technicians, psychiatric and home health aides.For many of those role’s a two-year associate’s degree or high school diploma will suffice.In the Greater Cleveland area, that number’s slightly higher, ranking the city 8th among the largest U.S. metros,according to a new study by the Brookings Institution. Likewise, more than half the healthcare jobs in Akron also are open to people without a bachelor’s degree.[audio href="http://audio2.ideastream.org/wcpn/2014/0724healthnoba.mp3" title="Listen to the Radio Story "][/audio]The study shows that within the ranks of those lacking a 4-year degree there’s quite a bit of variation in wages.RNs and diagnostic technicians usually have Associate degrees, and can earn roughly between $52,000 to $60,000 annually. By comparison, personal care aides and others with just a high school diploma earn between $21,000 and $25,000 annually.Another downside to the lower end jobs is that wages are going in the wrong direction – down nearly 14 percent since 2000.The Brookings Institution’s Martha Ross saidwages for such workers are going down because the economy is increasingly rewarding skills…and the trend reflects a decreased demand for lower educated health care workers. But she says those individuals shouldn’t be dismissed.The Brookings Institution ranks McAllen, Texas first in the nation, with 72 percent of health care workers there minus a bachelor’s degree.