Realistically, things can get bent reeeeally out of shape. As a matter of fact, you have CEOs and big shot investors who work a quarter half as hard as, for example, the customer service rep of their company and make millions in spite of the tiny amount they bring to the company.
Supply and Demand are the key words here: and people are
always getting hurt. Especially with things like criminals that have super powers.
So yeah, Malia is not gonna run out of a job, especially if she does not sign up with a hospital, but a government official itself. Like the democratic or republican party. Because there are few things that will boost PR better than 'we have someone who can literally cure cancer and regrow limbs on our side and we are paying her out of our own pocket to do so'.
And if they want that sweet, sweet PR boost, they will have to play by Malia's rules, not vice versa.
Worst comes to worst, she can just go visit people who've got a paycheck from GoFundMe or whatever site there is for that and get money that way. Or set herself up a patreon: sub X amount and vote on which hospital in Westbrook I visit next. Gives them a better chance that Malia cures that genetic cancer that just will not go away and can be passed down to offspring, y'know?
Do not make a mistake here: Malia has almost limitless options.