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It is about funding. The corners IT has to cut is because lack of money.
Also the amount of legacy operating system to keep hardware like scanners running is a lot. Medical devices are delivered with a workstation that never updates. It is hard to justify buying a new mri of 1.5 million when the accompanied workstation is outdated.
Sure you can vlan and firewall the hell out of it. But they still have a large attack surface.
Imagine hitting a dent in that bulge. Metal doesn’t dent back out, I’ll be a struggle to walk or strip your armor while it is crushed the entire time.
It is today’s equivalent to catching it between your zipper.