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> Who has to go out and visit each individual machine and update it each month so the MRI machine doesn't get bricked by some teen ransomware gang?

The manufacturer does. As I mentioned in my OP I help build the software for our field reps to go into hospitals and clinics to update our devices in a disconnected state. Most of the critical equipment we manufacture has this as a requirement since it can't be connected to a network for security reasons.

As for discharge orders, etc, I can't speak to that, but that's also not what I would consider critical. I'm talking about things like surgical robots, which can not be connected to a network for obvious reasons, especially during a surgery.



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