This is it. Governments have cyber abilities that far outstrip individual organizations. And when cyber fails, there are still other diplomatic and less diplomatic tools.

I wouldn't be surprised if the US Government here reached out to foreign governments for assistance in dismantling their infrastructure (it almost certainly was not on US soil).

An individual hospital probably couldn't garner that kind of backing, but oil pipelines? The US would probably be willing to use military strikes to keep the oil flowing. A small country would be very willing to help out to maintain good will.