nanog mailing list archives

Re: COVID-19 vs. our Networks


From: Shane Ronan <shane () ronan-online com>
Date: Tue, 17 Mar 2020 14:26:37 -0400

 Because the hospitals don't own the machines and the companies that do,
charge the hospital per x-ray. The hospitals moved to this model to reduce
their costs during "quiet" periods. And by doing so, put their patients in
jeopardy.

On Tue, Mar 17, 2020, 2:07 PM Owen DeLong <owen () delong com> wrote:



On Mar 17, 2020, at 02:20 , Mark Tinka <mark.tinka () seacom mu> wrote:



On 16/Mar/20 16:54, Carsten Bormann wrote:

I recently had to reschedule an X-ray because the license manager for
the X-ray machine was acting up.  I don’t think people have a grasp for how
much of the medical infrastructure no longer works when the Internet is
down.

I get this, to some extent. But also, there is a reason hospitals,
airports and military installations are either put on special power
grids or invest plenty of money in backup power.

I don’t get this… X-Ray machines (and other critical medical equipment)
should operate in a fail-safe mode where a license screw up doesn’t prevent
the machine from operating.

If the hospital hasn’t paid up, find a way to go after the hospital, but
don’t kill patients to collect your fee.

If an x-ray machine won't work because the Internet is down, I'm not
sure that is responsible. As inefficient as it may be to have a license
server on-prem if there is an option to check against one in the public
cloud, for a medical use-case, that would make more sense to me.

Why should there be a license server at all? Why should an X-ray machine
have an external dependency like that in the first place, even if it’s a
local server?

Owen



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