No Dominant Framework
Every other industry has a dominant framework. Government runs Drupal. Fintech runs Next.js. Education runs WordPress. Healthcare runs everything — and that's the problem.
Why Fragmentation Is the Real Risk
When a hospital group runs Drupal for its main site, WordPress for its patient portal, Vue for its appointment system, and a custom PHP app for billing — each one has its own security posture, its own patch cycle, its own talent requirement. The attack surface isn't any single framework. It's the seams between them.
HIPAA requires 'reasonable safeguards.' Maintaining reasonable safeguards across 4 different framework ecosystems is exponentially harder than maintaining one.
The Consolidation Opportunity
Healthcare organizations that consolidate to a single modern stack report simpler compliance, faster security response, and lower maintenance cost. The data doesn't say 'switch to Next.js.' It says 'pick one and standardize.' Fragmentation is more dangerous than any specific legacy choice.
