I guess the good thing is that it shows the VA has a central repository of approved and disapproved software instead of making every team go out and figure it out themselves.
There are a lot of groups named "F*ck that, I'll just print it" showing how they fixed or modify one simple part that doesn't have a lot of stress (less than 100lbs) but they'd have to throw out or stop using otherwise.
Emacs is not approved unfortunately. Not sure why. I wonder if it has to do with that exploitable bug from decades ago from Cliff Stoll's The Cuckoo's Egg. Rationale for other technology choices they make go back even farther in history.
The VA maintains something like 30 hospitals nationwide, in addition to various amphatheaters and storage depots, it's a huge org. Someone somewhere will be designing stuff with FreeCAD and 3D printing stuff within a week to solve some problem, even if it's something as simple as a shim to keep some HVAC flashing from vibrating.