So says McKinsey, the consultancy that just released a report on projected American job creation over the next decade. As you might expect, the outlook is not all that rosy. A return to full employment, defined as 5% joblessness, "will occur in only the most optimistic job growth scenario," McKinsey Global Institute concludes. Donning those rose-colored glasses, the consultancy projects that the United States will return to robust growth and will manage to create 22 million jobs between now and 2020. We can do this, the firm says, by creating a health care jobs boom with innovative approaches in primary care and disease management.