As for me, personally, what I do, is rare these days for an American in America; I make things. Nothing fancy but, to your point, I still live, sort of, in that old world where your hands mattered.
My dad and I often have discussions related to this. It's one of the areas in which I appreciate the extent of his wisdom, and my world will be so much poorer when it is gone.
He often says that the basis of all wealth is farming and mining. Raw materials. I'd probably also add manufacturing - it's one thing to shear sheep, collect goo from silkworms or pick cotton, but it takes brains and skill and work to make it into clothing.
But that is CREATING wealth. Something of value exists, because someone created it out of raw materials, or they grew it in their backyard, or they carved it out of something. Wealth is created, and is continually created. And that's odd to so many of my left-leaning relatives, because they always speak as though wealth is finite, and people only get rich by exploiting the poor. If wealth were limited, that would make sense - if there was only a thousand dollars' worth of wealth, and everyone contributed equally to making it, then in a fair world, everyone would have the same. But in an unfair exploitative world, the rich would take it or otherwise get it from the poor.
But I can walk out my back door, wind some dried grape vines into a wreath and my wife can decorate it to make a thing of value. I have MADE something valuable. I can cut down a tree and make a table. I can grow things in my garden and sell them - or better, make them into something even more valuable. If I was REALLY smart, I could grow herbs and extract something even MORE valuable. That's how wealth gets created. Brains, brawn, raw materials.
My dad and I love these discussions.
My son LOVES "How It's Made". We watch the brilliance in manufacturing to things as simple as tea and coffee and paper to school buses and Twinkies and space shuttles. This is "making wealth". It is an easy course in seeing how brains makes the world we live in.
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On the other hand - everything away from this exploits the situations "down the line". Bankers, lawyers, doctors - they don't really create wealth. They provide a vital service that people will pay to have. I suppose you could say that doctors create "health" but not really. In reality, most people make their money this way - way down the line from raw materials and manufacturing. (Although I think recently, places such as bakeries were reclassified as manufacturing). What they do is still important. Without services, our civilization couldn't work. Transporting goods doesn't create wealth, but it's still vital to civilization.
Eventually we come to the area where people really aren't creating anything - or even providing a service at all. They make money legally - but they're the modern equivalent of gamblers and pirates. When people make money by almost literally taking it from others, they're not creating anything.