In the past, it was easier to make a decent living as a truck driver, but now the fact that there are fewer restrictions by the government and by unions has changed that.

an informal structure in a bureaucracy would be something like so-called "office politics". where there's a formal structure set up for the organization, but then an informal subculture as well that has a way of organizing the bureaucracy further. this can be positive because it sets up an added degree of organization, albeit informal, within the bureaucracy.

are there any options?

answer; ///biological psychologists;

answer; have joints that fail from excess by early the accumulated effects of unnoticed infections,all of these things are possible for a person born without the ability to feel pain;