Medical software often sits at a sad intersection. The incentives aren't really there. It's not glamorous, the pay is going to be at best equal to other fields, and you have to deal with medical doctors, who assume that a terminal professional degree conferring upon them a title they appropriated from academia means they are experts in all fields. Throw in a bunch of regulatory bodies and standards to follow and manage and you have the perfect storm of ghettoization.

So if you're able to, you're going to go get another job. Because unless you're in the executive suite, the money isn't really worth the headache. Which leaves those who can't get another job. Which produces a Dead Sea effect.

From the other side, you may have people who really want to be in medical technology, but don't have the technical chops to do so. Which is its own problem.

So you have those who could do the task, but aren't interested in doing it.

Then you have those who are interested in doing the task, but can't do it.