I'm a pretty good software engineer, and they pay me very well, but I've got absolute shit executive functioning skills. Task management, remembering to email people back, and the like are challenging to me. It has occurred to me that a full time personal assistant in my area typically makes about $50,000/year. I think there's a decent chance that, with such a support, my own salary could go up by $200k or more over the next couple of years. I've frequently entertained the notion of hiring someone to basically support me in my job without telling my employer, since there's zero chance they'd get me such an assistant and similarly zero chance they'd let me pay for my own.

I wouldn't ultimately do it because, y'know, all the dishonesty involved, but it'd probably be a good deal for everybody involved. My employer gets better work for the same money, my assistant gets stable work, and I get promoted.