Truth as Therapy for Higher Education

Anosognosia is the inability to recognize one’s own illness or disability. In higher education, it describes the chronic denial of a system in crisis—one that refuses to admit its own collapse.

For decades, U.S. higher education has been sold as the great equalizer. The story was simple: borrow, study, graduate, succeed. But the data show the opposite. What we are witnessing is a long college meltdown, masked by denial at the highest levels of government, university administrations, and Wall Street.

The Debt Trap

• Outstanding student loan debt now exceeds $1.77 trillion, burdening more than 43 million Americans.

• Nearly 20 percent of borrowers are in default or serious delinquency.

• Black borrowers, especially Black women, carry the heaviest burdens and are least likely to see upward mobility from their degrees.

• Many in income-driven repayment programs will never pay off principal, living in a permanent state of debt peonage.

Universities and policymakers insist debt is an “investment.” But for millions, it is a generational shackle.

The Exploited Faculty

• More than 70 percent of college instructors are contingent.

• Adjuncts often earn less than $3,500 per course, with no healthcare, no retirement, and no security.

• Roughly one in four adjuncts relies on public assistance.

Universities still market themselves as communities of scholars. In reality, they operate on the same exploitative labor practices as Uber or Amazon.

The Employment Mismatch

• Four in ten recent grads work in jobs that don’t require a degree.

• One-third of graduates say their work is unrelated to their major.

• Median real wages for college graduates have been flat for 25 years.

Still, higher ed pushes “lifelong learning” credentials, turning underemployment into a new revenue stream.

Prestige as Denial

• At Ivy League universities, 40 percent of students come from the top 5 percent of households.

• Fewer than 5 percent come from the bottom fifth.

• Endowments soar—Harvard’s sits at $50 billion—but tuition relief and faculty wages barely budge.

This is not mobility. It is a hereditary elite cloaked in the language of meritocracy.

Climate Contradictions

• Universities promote sustainability but invest billions in fossil fuels.

• Campus expansion and luxury amenities drive up emissions, water use, and labor exploitation.

Even here, anosognosia reigns: branding over reality.

The Meltdown Denied

The college meltdown has been unfolding for more than a decade:

• Small liberal arts colleges shuttering.

• Regional publics bleeding enrollments.

• For-profits morphing into “nonprofits” while still funneling money to investors.

• State funding eroded, shifting the cost to students and families.

But instead of confronting the collapse, higher ed leaders rely on rhetoric: “innovation,” “resilience,” “access.” Like anosognosia, denial itself becomes survival.

The Human Cost

The denial is not harmless. It is measured in:

• The indebted graduate delaying family formation and homeownership.

• The adjunct commuting across counties to string together courses while living below the poverty line.

• The working-class family betting their savings on a degree that will not deliver mobility.

The meltdown is here. Higher education’s inability—or refusal—to admit it ensures the damage will deepen.

Truth and Healing 

Anosognosia prevents healing because it prevents recognition of the problem. U.S. higher education cannot admit its own disease, so it cannot begin recovery. Until it does, students, families, and workers will bear the costs of a system in denial.

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Sources

• Federal Reserve Bank of New York, Quarterly Report on Household Debt and Credit (2025)

• National Center for Education Statistics (NCES), Digest of Education Statistics (2023)

• American Association of University Professors (AAUP), Annual Report on the Economic Status of the Profession (2024)

• Pew Research Center, The Rising Cost of Not Going to College (2023 update)

• The Century Foundation, Adjunct Project (2022)

• Chetty et al., Mobility Report Cards: The Role of Colleges in Intergenerational Mobility (2017, with updates)

• IPEDS (Integrated Postsecondary Education Data System), U.S. Department of Education

• Harvard Management Company, Endowment Report (2024)

• Higher Education Inquirer, College Meltdown archive (2018–2025)