This attitude is the reason that vb6 runtime still ships with win10 :)

I worked as a developer in the PACS industry for the best part of 20 years and I can tell you that the Drs certainly have their portion of the blame to share, generally enabled by the "business" people. (i.e. dont piss off the talent)

Above all else Drs want their own convenience, patient privacy concerns are waaaay down the list of priorities.

On a slight tangent you might like know that DICOM is the worst standard of all time, I know you think you've worked with worse... you haven't. :)

In an earlier job I was doing sys support for unix.

I was trying to shutdown a terminal machine so I could move it but inadvertanty typed the shutdown command into a window I had open on the main production server. I was assured that everyone does that at least once :-)

One of the managers was particulally dark at me coz they lost 3 hours of editing on a document. My response was "Don't you save it every ten minutes?" (as people who use Word do)

Their fault really for employing a windows programmer to to unix sys support. :-)