If you are a

 Young parent working do you have to pay for headstart 

Every dime I make

 You want half 

The crab barrel

 Where if I see you doing good ima pull you down to my level if I'm not doing good i don't want to see you doing good 

So know those

 Students pictures will be on the wall 

So I was so

 Happy to see a recent graduating class of medical students 

I was looking at the

 Pictures on the wall and it was like the pictures stopped 

It was in the area

 Where hand surgeon specialists would be 

And I was in

 The wing of the hospital passing through an area and I was looking at the pictures on the wall 

I worked

 At a hospital 

In real

 Life 

Cause and

 Effects