I know most here are focused on the dev side of things, but coming from the sysadmin side where I've had to deal with the technical debt of devs + the entire rest of the business IT technical debt, it is anything but good.
I've seen the insides of hundred of companies, and the number one cause of technical debt is lack of proper manpower to work ratios. Usually due to short term thinking of IT as a janitorial cost sink instead of as an investment.
any company that can break this mold is going to be light years ahead in the long run, because I have a secret to tell you all...
The infrastructure holding most businesses up is set to crumble at the slightest puff o wind, whether that wind be legal, like a lawsuit or an audit, or technical like an internal data breach...