> There should be a better job done by vendors to clean that up, but no-one seems interested in supporting this once the sale is made. Working in healthcare IT

> There should be a better job done by vendors to clean that up, but no-one seems interested in supporting this once the sale is made. Working in healthcare IT (and I should note this is my personal opinion only), it's actually a little more complicated than that. Healthcare software vendors are generally building their software to meet certain certifications (because the clinics are demanding that), as well as fixing security/patient safety issues, and lastly adding in features the clinics want The problem comes in that not every clinic cares about the certifications, and the software they have "works fine." So there's no incentive to upgrade to a newer version that has security fixes. It's important to remember that, with a few exceptions, doctors are not IT, and many clinics are small enough that they outsource their IT. If that IT group doesn't force the clinics to upgrade, the clinic will continue using the version that does what they want, as long as it isn't obviously broken. Clinics are generally risk-averse, which in many cases is the correct mindset. Unfortunately, that affects their perception of the benefits of updated software.