Provide a structure for the major substitution and elimination product of the following reaction. 
Definitions:
Unemployment
This indicates the condition of being jobless despite the willingness and capability to work, measured as a percentage of the labor force.
Health Maintenance Organizations
A type of health insurance plan that provides a network of doctors and hospitals for patient care, often with an emphasis on prevention and wellness.
Lower Wages
Reduced compensation for work performed, often relative to previous levels or compared to industry standards.
Unions
Organizations of workers that try to raise wages and improve working conditions for their members by bargaining collectively.
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