Because the hospitals don't own the machines and the companies that do, charge the hospital per x-ray. The hospitals moved to this model to reduce their costs during "quiet" periods. And by doing so, put their patients in jeopardy.
On Tue, Mar 17, 2020, 2:07 PM Owen DeLong <o...@delong.com> wrote: > > > > On Mar 17, 2020, at 02:20 , Mark Tinka <mark.ti...@seacom.mu> wrote: > > > > > > > > On 16/Mar/20 16:54, Carsten Bormann wrote: > > > >> I recently had to reschedule an X-ray because the license manager for > the X-ray machine was acting up. I don’t think people have a grasp for how > much of the medical infrastructure no longer works when the Internet is > down. > > > > I get this, to some extent. But also, there is a reason hospitals, > > airports and military installations are either put on special power > > grids or invest plenty of money in backup power. > > I don’t get this… X-Ray machines (and other critical medical equipment) > should operate in a fail-safe mode where a license screw up doesn’t prevent > the machine from operating. > > If the hospital hasn’t paid up, find a way to go after the hospital, but > don’t kill patients to collect your fee. > > > If an x-ray machine won't work because the Internet is down, I'm not > > sure that is responsible. As inefficient as it may be to have a license > > server on-prem if there is an option to check against one in the public > > cloud, for a medical use-case, that would make more sense to me. > > Why should there be a license server at all? Why should an X-ray machine > have an external dependency like that in the first place, even if it’s a > local server? > > Owen > >
