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November 26, 2025 53 mins

The alarms aren’t just in the data center anymore. When ransomware shutters clinics and pushes oncology schedules into chaos, the question isn’t “What did they exfiltrate?” It’s “Who didn’t get care?” We sit down with Jen Ellis, founder of NextGen Security and co-chair of the Ransomware Task Force, to unpack how cybersecurity in healthcare became a patient safety issue—and what it will take to keep care running when attackers hit.

Jen takes us inside the pandemic spike in hospital attacks and the wrenching ransom debate, including a parent of a child with cancer willing to remortgage their home to restart treatment. From there we trace the policy ripple effects: international disruption efforts, sanctions, tighter crypto oversight, and the Counter Ransomware Initiative. None of it is a silver bullet, especially as AI lowers the barrier for criminals, but coordinated action is raising attacker costs and forcing them to work harder.

We go beyond headlines to the budget math inside hospitals running on razor-thin margins, where a “CISO” might be a stretched administrator with no real authority. Frameworks like NIST CSF are solid, but adoption stalls without clear sequencing, funding, and maturity paths tailored to small teams who can’t take systems down to patch. Jen makes the case for secure-by-design to shift burden upstream to vendors and highlights FDA’s connected medical device program as a model: collaborative, iterative, and capable of real enforcement. We also tackle the rise of class action lawsuits after breaches and how they can discourage disclosure and distort incentives, even as we protect pathways for those who can show genuine harm.

If you care about keeping ICUs open, protecting critical workflows, and helping clinicians deliver safe care under pressure, this conversation is for you. Follow, share with a colleague who works in healthcare, and leave a review with your take: What’s the one change—policy, funding, or vendor accountability—that would most improve patient safety against cyber threats?

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