Anyone who is designing such systems around "accurate time" hasn't got a freaking clue how to build such systems.
For example, when dealing with spacing on self-driving vehicles, you rely on radar or laser tracking to maintain the separation between vehicles, not some wildly inaccurate network message about the velocity and position sent by other vehicles.
Medical in particular baffles me. Who in their right mind would design a medical system that synchronizes with anything other than the patient's own body rhythms?
But hey, that's what happens when you get some simulation designers trying to apply their single-clock logic to complex systems. They don't think about how real systems work -- the problem isn't an inaccurate time value -- it's an inaccurate understanding of the problem itself.