For years, cybersecurity has largely been an enterprise issue. Small and midsize businesses (SMBs) were often the targets of opportunistic attacks, but both damages and frequency were low enough for them to not cause concern for business owners. While it can be argued that cybercriminals were simply going after larger and more lucrative targets, they also misunderstood how the SMB sector itself could be a valuable target. 
Thank you for shining a light on this systemic vulnerability. I don't think organizations realize that, in many ways, they inherit the security of their service providers. As another commenter noted, the RMM is overdue for radical reinvention. Security-minded MSPs may need to think about delegated access to customer environments, privileged access workstations, or other methods for remotely administering customer environments without that big fat one-to-many target that RMM represents. I think the MSP tooling ecosystem is general is problematic - MSPs design for scale and efficiency (making them an economical option for customers as opposed to hiring internally), but do I really want my password manager integrated into my RMM? Maybe not... There's a lot of market share out there waiting for MSPs that can develop real cybersecurity maturity.
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In House—the process where an organization hires its own IT service providers and pays their salary, benefits, and further training, as well as the infrastructure they oversee. This is typically an extremely costly endeavor, and often businesses that try to procure in-house IT lack the capabilities to fully service their system as well as an inability to grow.
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