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In a perfect world there would be market pressure on device manufacturers: those device manufacturers who patch devices and ensure the patched versions are recertified, would win out over those who do not, in an environment where the expectation is for all these devices to be networked! But of course this requires a competitive market to exist, AND for recertification and patching to be trivial costs. Since they're not, even if a hospital administrator were to price in the risk of losing certifications on all their devices, it's likely that the risk would end up being less expensive than choosing that (potentially non-existent) security-conscious device manufacturer.

Anyone considering disclosure, responsible or not, should be aware of these types of secondary effects. Had these vulnerabilities hypothetically been discovered by a white hat or found their way to a leak-disseminating organization, the discoverers and gatekeepers should consider that not everything can be patched, and the ethical thing to do here would have been to notify Microsoft and wait for a significant product cycle to release technical details. I somehow doubt the Shadow Brokers had that aim, though. And it's saddening that even in the hypothetical case, many people would choose "yay transparency!" over a thoughtful enumeration of consequences.




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