Yes and no. People can force software on your office computer but not on your private laptop, tablet and raspis. And even on windows computers you will find way

Yes and no. People can force software on your office computer but not on your private laptop, tablet and raspis. And even on windows computers you will find ways to install software without admin rights (e.g. Putty doesn't need any admin rights). Therefore I would argue the main thing missing is a desire to conquer the computer as a tool, a tool that might save hours of work time, that might help analyse problems more efficiently than a human brain can, that can help outperform one's colleagues. With a desire to conquer the computer, open source, and exchanging knowledge online, actually many private enthusiasts who can't afford medical care or won't get the right one can already help themselves. And they have not studied as long or hard as most medical people do. I.e. a doctor with the right spirit should be able to achieve a lot more than such hobby enthusiasts. And with that passion and knowledge the medical community as a whole would slowly also force better software into their work environments. They know how to hold conferences and argue with facts. It's hard to blame others if you belong to one of the smartest tribes on the planet.