Being in the automotive business, and knowing/ dealing with a ton of auto repair shops..... i can state more and more people are getting that big laundry list of things the car they have needs( when they cant ignore the issues any more) fixed. Rather than getting rid of the car and replacing it.
Had a shop owner tell me recently those 2000-3000 dollar estimates he gives, more people than ever are saying...” go ahead and do it” that didnt used to OK it. They know what they have, and that admittedly large large bill will keep them motoring along for a couple more years.... or longer. Typically way cheaper than any other alternative.

And those saying engine rebuilding is becoming rarer are correct. People buy a used motor and have it installed.
We deal a lot in Subaru’s. Couple years ago had a turbo itself grenade. Cheapest way out ended up being buying a brand new Subaru shortblock right from the dealer. Was under 2 grand. Had the heads checked, new turbo,lines cleaned, away we go.