This is quite the take - i doubt most startups building in these spaces are using Java.
"We are a Java house" is not a Greenfield thing. It's picking what you already use internally.
medtech - .NET and TypeScript.
Everything that was done on the backend side was done in Java, although there were some exceptions for .NET deployments.
So we ended up with mixed skills teams where depending on the ticket, you would be coding Java or C#.