

How many times you think a state government uses this vs the thousands of cameras, warrants, a well placed USB stick on the desk, and monitoring the war thunder forums?
Very often. Software supply chain attacks are the most common method of infiltration these days, and even in environments with compliance requirements people are very laissez-faire about what they install.
If you’d read the article (or even the excerpt that OP included), the author firmly places the blame on the American medical and insurance industry that is refusing to cover inhaler versions without greenhouse gas propellants.