Considering the timing it could also be geopolitical unfortunately, people dying from a ransomware attack could substantially raise the general tension level in the US.
Lots of high value malware is actually targeted. Things like running phishing campaigns to try and steal credentials from someone inside the institution.
It's substantially less likely, especially if you don't buy the geopolitics angle, but potentially these criminals even have some unpatched vulnerability in a common deployed piece of software, which would allow them to skip the phishing part entirely.
[0] https://www.zdnet.com/article/first-death-reported-following...
Disclaimer: The company I work for is involved in detecting ransomware as a side business.
My understanding is that the ransomware operators just take a look at computers that are infected, and then negotiate based on who they appear to be.
With a consumer attack it's get execution on a computer, encrypt some files, and ransom them back. This might earn a few hundred dollars per computer, and isn't worth putting a whole lot of effort into any individual.
At a corporate level it's get some level of access, use that access to get control of a whole lot more access - and also to get control of servers that actually matter instead of users workstations that mostly don't. Maybe try and delete the backups, often exfiltrate a bunch of data, then encrypt things. If you exfiltrated the data the ransom potentially includes not just the offer to decrypt things but also a promise not to distribute the exfiltrated data.
This is all reasonably high touch "work". They've got to figure out how to move laterally inside that specific companies network. They've need to figure out what data is actually important (especially if the goal is to sell it). And so on. Unfortunately it appears to pay well enough to justify the effort. Companies are routinely paying millions of dollars in ransom.
I don't have stats to back this up (internal or otherwise), but my impression is that most successful attacks against enterprise targets are phishing attacks targeting employees to steal credentials.
Just pointing out that this is a little misleading. The link you're referencing refers to the first ever reported hospital death related to a hospital's ransomware attack, and this article was from just a month ago (I remember, I read it on Hacker News too). But the juxtaposition of these sentences might suggest that death-by-ransomware-in-hospitals has been a common occurrence for quite some time.
https://krebsonsecurity.com/2020/10/amid-an-embarrassment-of...
And once you're doing that, you're going to minimax for hi-value, low-risk targets.
its like yeaaah maaaybe there is one connected and high tech operation that all the world leaders heard about in their whatsapp groups, but my experience with "people with connections" are that they are so low tech and dumb that its almost impossible for them to get the correct clandestine hacker group in play
So they do target the extortion; already the decision to move on from that initial foothold will be based on the understanding of what institution it is and how much they would be willing to pay. In this case, they have intentionally targeted hospitals.
Thieves must be heartless to go after such desperate targets. But criminals always have ways of justifying things.
I would be surprised if no one has written a smart contract for this yet - release the keys when X BTC are deposited to address Y.
The smart contract would just wait for payment and the control server would watch for payments. the victim would still have to trust that this process was in place, but for operator can have it completely automated
doesn't actually have to be a smart contract, just any address essentially. but a smart contract could allow for many more features, not sure if you'd really want that here
I thought this proposal was some kind of pitch to solve that specific problem, not just automate the process after receiving a payment.
I just misunderstood what the goal was
people are talking themselves out of how to use cryptocurrency and smart contracts, its like something Plato would write
I mean it's the mafia, same people that traffic women and children, drugs,... profit is the motive, they don't care how. Just because they are now sitting behind a computer doesn't change their nature.
I've been in a hospital recently and they were still running windows XP, my doctor using IE8 (cause activeX on the intranet) and Excel... But hey, they run anti-viruses!... Public institutions absolutely need to get rid of all that ASAP.