What's changed across the nation in terms of health care cybersecurity since the 1990s? Malware spreads by USB sticks and IP networks rather than 3.5" disks. Medical devices depend much more on networks and software. There are now so many layers of software dependencies, it's hard to even inventory what's in the trusted computing base.
I still have the wooden shoe presented to the staff who helped "go live" with this clinical computing system in Holland. Stored on a shelf right above my IHTFP propeller hat.