While I have no clue what the security or reliability looks like in industrial applications, I would hope they evaluate their solutions with reliability in mind.
It's barely better than iot stuff. And some "older" systems probably still need NT4 to run (I mean, if you're lucky)
Keep hoping... The number of industrial systems deployed that are connected to the internet with the default passwords unchanged or no passwords is nauseating.
https://threatpost.com/exposing-scada-systems-shodan-110910/...
How have they not been exploited/fixed already? Shodan's made it clear for years, of course anybody can use zmap/masscan.
Without having hacked a database of patient to device mappings, it's not like you can ask for ransom.
Also, you may already want someone in particular dead and are just looking for a vector. This seems almost untraceable.
I'm thankfully not this person, but at a basic level I could see some bored teen turning off a dam just for fun.
Honestly the only reason I don't is because it would be "wrong" to do, but the internet is full of people, it's certainly not a stretch that somebody would want to.