There are a lot of consolidation both on the healthcare provider side (i.e., hospitals) and the payer side (insurance company and the largest payer of all: government’s Medicare) So, the comment “who knows what the job market will be in the future” applies to medicine too.
An example: I heard the largest hospital system in CT had to close two of their clinics just because there are too many Medicare/Medicaid patients now. The more patients they see, the more money they lose. They need a higher percentage of non-Medicare/Medicaid patients to break even. The CT’s state government controls the purse string for Medicaid patients, I think. The tax payers are not willing or able to shell out more of their precious money for those patients who are either old or poor.
In the bay area in SV California, recently there was a big fight between a very large healthcare provider and a heath insurance company. The patients were told to see a very limited number of doctors for almost half a year before they finally reached an agreement (agreement for a year only – until next round of fight.) The landscape if the health insurance could be more and more like the gridlock between two political parties in the Congress in the future.