I have heard the PA job market is also getting tight, but nearly as bad as pathologist at the moment.
For the best opportunity, I would get an MD then go to a path residency and fellowship programs. You are essentially a PA for 6-8 years, albeit at much less pay, and then may get hired on as a junior faculty somewhere for almost a PA salary.
Is the 88305TC cut hurting PA job market? I've seen some PA job postings at in-office labs in recent years. That shows how big some of those labs are getting.