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