The most efficient medical experiences I have had have both been ones where there were no insurance involved:

1. A USCIS surgeon, that was like 80 years old, running his own office, everything via check, on paper. Guy put more patients through per day then the big hospital systems special immigrant medical services did.

2. A specialized Eye Surgeon who did my wife's ICL eye surgery (which insurance wont cover). Ended up being the most efficient practice I've seen, every follow up and pre-surgery meeting was not separately billed. Just the surgery was. Eye Doctors / Surgeon spent a ton of time with you. And they had massive amounts of flexibility. But even the out of pocket surgery was probably less than an insurance covered surgery at a hospital.

In poor rural areas, 50 jobs paying not that much is a big improvement.

The data centers weren't going to go into NYC, but upstate New York has plenty of space for Data Centers. Oswego has two power plants, and could use two more. Building is good.

However... unless you account that the native speakers and heritage speakers will learn English, making your ability to say cerveza useless. If you aren't fluent and have professional Spanish qualities (like Medical Spanish), its useless. Learning Latin or Greek would have been more useful, at least I could struggle through Cicero in Latin, than saying 3 words in Spanish before the other guy switches to English.

I guess I am a stoneager.

Prolog teaches logical constraint based thinking.

ML/Lisp/etc teach functional thinking.

There is a lot of use in learning these other things beyond the standard imperative thinking from C/Python/Java/etc. Since some problems reduce their complexity significantly in one form or another.

The water concerns are absolutely overblown, the paper that everyone draws their numbers from had to be ammended because they had a 1000x water usage error.

When a poor town has an empty lot get converted to a data center, they are getting some jobs. 20 jobs of remote hands, plumbers, and security guards is better than zero. And there is increased tax revenue (this point I disagree with, because property tax is wrong and we need a land value tax).

Long term these changes are good.