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>These devices are often not openly networked, or if they are, they are through some sort of gateway that's appropriately locked down and updated.

Possibly in major hospitals with large large IT teams...

But I've worked in a lot of smaller clinics and the term 'often' changes to 'almost never'.

It's an appliance with huge gaping security flaws that its very creator says you should use under approximately no circumstances.

> For what it's worth, the "XP" OS is often licensed and supported for well longer than a consumer SKU. IIRC microsoft provided support and security updates for embedded/appliance applications until 2019!

You're 100% right but that still means the thing has been sitting around for half a decade with no security updates whatsoever.

There is a fine line between stability and simply being a miser and refusing to update things within a reasonable period of time. Healthcare, especially corporate healthcare run by people other than physicians, is far to much on the miser end of the spectrum.

I recommend you all read the 2023 FDA cybersecurity expectations before commenting. https://www.fda.gov/media/119933/download

> In our industry, the idea of something using XP is ridiculous.

Only because of the lack of (security, drivers) updates though right? If I couldn't use Linux or macOS I'd rather use XP (if it were current) than anything that's come since.

(I also don't need accessibility features which I'm sure have come a long way.)