Having to deal with Siemens healthcare software - they take the very understandable risk aversion (some of which is a must when it comes to medical equipment) and take it so far that it seriously hampers their ability to keep up with the industry, and (ironically) to maintain a stable product. I think it's their North American software teams that keep them moving forward, otherwise they'd still to this day be selling new MR and CT scanners running Windows XP.
And we all know the problem with technical debt - it's not a problem until one day it's a huge fucking problem that paralyzes you and forces you to stop moving forward at all for some time, just so you can pay off the debt.
Oh god... The Siemens modalities that I work on are garbage.
Same for Phillips.
I have mixed feelings about GE as well.
Healthcare tech is definitely hampered by the speed at which software _should_ move forward. The cost of getting FDA approval is crazy, especially for simple changes/security updates.
And we all know the problem with technical debt - it's not a problem until one day it's a huge fucking problem that paralyzes you and forces you to stop moving forward at all for some time, just so you can pay off the debt.