What is happening is we are becoming a third world nation with a two tiered third world economy—with a deep split between the have and the have nots.
If the haves are your market you are in good shape.
If your market was the have nots you are in trouble.
Maybe that’s it too. My client base is the well off. Although I do think some are just faking it too. Area is full of young new doctors due to the 3 major hospitals here.