I have a few pet theories of why software in the medical space is so often shitty and insanely expensive. One of them is that working with doctors is often very unpleasant, which makes building software them unpleasant, which drives up the price. I mean some of the ones I worked with were terribly nice, especially the ICU docs and neurologists, but a large majority of them were major aholes.

The other theory is there are soo many bureaucratic hoops to jump through in order to make anything in the medical space, that no one does it willingly.