Pictured here is the bog turtle – North America’s tiniest turtle! This turtle can be found in the Appalachian Mountain bogs, one of the nation’s most biodiverse, yet rarest and most imperiled habitats. Roughly 90 percent of the area’s mountain bogs that once existed have been lost, making protection critical. That’s why the President’s budget calls for funding to conserve places like this as part of full and permanent funding for the Land and Water Conservation Fund. http://on.doi.gov/23Ljo4L 🐢
As I have oftennoted, medical devices have terrifyingly poor security models, even when compared to the rest of the nascent Internet of Things, where security is, at best, an afterthought (at worst, it’s the enemy!).
An excellent feature by Monte Reel and Jordan Robertson in Bloomberg Business, documenting the Mayo Clinic’s experiment with hiring penetration testers to examine the security of their devices. The results were predictably alarming: the devices with the power of life and death over entire buildings-full of people are really badly secured, and so prone to hacking that a KPMG survey found “81 percent of health information technology executives said the computer systems at their workplaces had been compromised by a cyber attack within the past two years.”
On the basis of the pen testers’ findings, the Mayo Clinic instituted a stringent set of security requirements from its vendors, but few hospitals and clinics have the bargaining power to make similar demands. What’s more, vendors come up with terrible solutions to their own security problems. For example, the manufacturer of an automated drug-safe that could be trivially “jackpotted” (caused to dump all its opoids and other controlled substances) “fixed” the problem by requiring fingerprint authentication – from surgical teams who were operating in sterile environments, wearing gloves to protect themselves from infectious agents.
The FDA is remarkably uninterested in this (they seem “to literally be waiting for someone to be killed”). Doctors and administrators are prone to shooting the messengers, accusing security researchers of writing scare-stories. But pen testers and auditors keep finding hospitals that are playing host to all kinds of malware that’s sneakily exfiltrating confidential patient data, and, alarmingly, installing ransomware packages with the power to lock up the whole electronic infrastructure of the hospital.
One thing the authors miss, regrettably, is the other titanic and immovable impediment to auditing and improving medical device security: copyright law. Section 1201 of the DMCA makes it a felony (punishable by five years in prison and a $500,000 fine) to disclose information that would assist in removing a digital lock. Medical device vendors routinely deploy these locks to prevent their competitors from making interoperable products. For example, an insulin pump maker might use digital locks to prevent patients from using cheaper insulin; or a pacemaker vendor could use them to prevent competitors from making their own software for organizing patient data, forcing hospitals and doctors’ offices to buy an annual license to use the original vendor’s software.
This year’s Copyright Office proceedings on Section 1201 of the DMCA included this filing from Jay Radcliffe, who features heavily in the Bloomberg story; in which he documents the ways that DMCA has prevented him from disclosing potentially lethal vulnerabilities in commonly used medical implants (including the insulin pump his own doctor wants him to use).
Whatever commercial and technical impediments exist to securing medical devices – bad vendors, lack of negotiating power in hospitals, the intrinsic difficulty of information security – the DMCA makes it all much, much worse.
But it’s a very good article, despite this important omission. Especially good is the passage in which infosec researcher Billy Rios finds himself critically ill, in a hospital bed, being kept alive by many of the insecure devices he’d been railing against:
