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There is a ton of opportunity still in lab in the northeast. You are mentioning all shady labs. You are missing a few others like quality, Acutis, top labs. The big specialty labs are still stable career choice. I think finding the right company and leadership will help tremendously. I wouldn’t recommend pharma over lab. It’s the same except lab you will have more opportunity to make bigger paychex. Healthcare IT seems to be where a lot of people are moving into. My advice would be to research if you want to be in the diagnostic Space. But it’s definitely far from being dead. Good luck in your search.