Sales and retail, transportation, finance, creating IPs such as proprietary software, technology patents, or entertainment, and the maintenance of infrastructure. That's it, pretty much. It makes sense why nobody wants to work, almost all of them aren't contributing anything that seems helpful minus a few exceptions.

Their biggest exports are loans, IPs (if those could even be said to be exports), and weapons.

Alienation is the worst in these countries as every aspect of life is designed to make people consume as much as possible. Alienation is far more psychologically damaging than exploitation which leads to stuff like South Korea having a higher suicide rate than Sudan. Basically all of them are experiencing an ever worsening loneliness and mental health crisis. It's normal now that every person you know has a mood disorder.

Also leftists have a far harder time getting anything done in these countries because a lot of the working class are basically bought off and apathy is like the dominant ideology. Also, what means of production is anyone gonna seize? The Coca-Cola bottling factory? The Walmart grocery stores?