I primarily work on clinical data, and from that side, the technology stack—MUMPS included—has its quirks but generally gets the job done. The real dysfunction in U.S. healthcare isn’t the software or the language itself, but the system it’s built to serve. The core issues lie in the incentives around revenue cycle management and the structure of the insurance industry. Blaming MUMPS is like blaming COBOL for bank fees—it’s the system, not just the syntax.