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There’s even more hospitals and clinics who have a radiology department but no Radiologist onsite to read the exams. It’s all sent offsite to remote Radiologists sometimes 100+ miles away.

Disrupt the internet and good luck getting your emergent studies read by doctors who don’t look at anything to do with the scans and X-rays they order other than the Radiologists report.

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That seems unrelated to me. I can (for example) email an image to someone anywhere in the world without ever connecting my camera to the internet.
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Surgeons look at X-rays all the time in the OR. Especially ortho.

In a crisis, the surgeons will do the radiology. And they will bitch about it, but it will get done.

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I can see how a subscription model would be appealing if it was in lieu of outright buying expensive equipment. Operating expenses for some machines are cheap but the machines are expensive enough that the tests themselves are expensive to pay off the machine.

Of course, the reality is more likely that the hospital still has to buy things and the subscription is a net loss on top of that so patients (or the people paying for the care) are screwed twice.

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Or the equipment is otherwise expensive up-front to a small clinic. Ophthalmology, for example. The subscription feature is cheaper than becoming a financier.
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It also creates a HARD dependency on internet access.
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